Disseminated histoplasmosis in a 17-year-old Nigerian male patient:A case report

作     者：Atana Uket Ewa Bassey Ewa Ekeng Glory Ekpo Bassey Enobong Ufot Akpah Osamagbe Aiyudubie Asemota Livinus Nwancho Nweke Atana Uket Ewa;Bassey Ewa Ekeng;Glory Ekpo Bassey;Enobong Ufot Akpah;Osamagbe Aiyudubie Asemota;Livinus Nwancho Nweke

作者机构：Department of PaediatricsUniversity of CalabarCalabarNigeria Department of PaediatricsUniversity of Calabar Teaching HospitalCalabarNigeria Medical Mycology Society of Nigeria Department of Medical Microbiology and ParasitologyUniversity of Calabar Teaching HospitalCalabarNigeria 

出 版 物：《Asian Pacific Journal of Tropical Medicine》 (亚太热带医药杂志（英文版）)

年 卷 期：2022年第15卷第6期

页      面：283-286页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Histoplasmosis Disseminated Tuberculosis Sepsis Case report 

摘      要：Rationale:Disseminated histoplasmosis is the most severe form of histoplasmosis and often associated with fatal *** pulmonary and disseminated forms mimics tuberculosis(TB)and may be *** concerns:A 17-year-old male patient compliant with anti-tuberculosis therapy with complaints of fever,cough productive of thick yellowish sputum,fast breathing,abdominal pain,swelling and *** status was ***:Disseminated ***:Antimicrobials including anti-TB therapy,ceftriaxone,gentamicin,azithromycin and ***:He was responding to anti-TB drugs until about 4 and a half months on treatment when he fell *** blood film done 2 days prior to his demise revealed florid yeast like organisms in monocytes with eccentric chromatin suggestive of Histoplasma ***:Histoplasmosis can both mimic and coexist with TB and so a high index of suspicion is needed for its diagnosis.