Chronic Cavitary Pulmonary Histoplasmosis in a Non-HIV and Immunocompromised Patient without Overseas Travel History

被引：4

作者：

Jung, Eun Ju ^{[1
]}

Park, Dae Won ^{[1
]}

Choi, Jung-Woo ^{[2
]}

Choi, Won Suk ^{[1
]}

机构：

[1] Korea Univ, Coll Med, Dept Internal Med, Div Infect Dis, Seoul 136705, South Korea

[2] Korea Univ, Coll Med, Dept Pathol, Seoul 136705, South Korea

来源：

YONSEI MEDICAL JOURNAL | 2015年 / 56卷 / 03期

关键词：

Histoplasma capsulatum; immunocompromised host; Korea; CAPSULATUM INFECTION;

D O I：

10.3349/ymj.2015.56.3.871

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Korea is not known as an endemic area for Histoplasma. However, we experienced a case of histoplasmosis in a person who had never been abroad. A 65-year-old female was admitted to the hospital for evaluation of multiple lung nodules. A computed tomography (CT) scan of the chest showed multiple ill-defined consolidations and cavitations in all lobes of both lungs. The patient underwent a CT-guided lung biopsy, and a histopathology study showed findings compatible with histoplasmosis. Based on biopsy results and clinical findings, the patient was diagnosed with chronic cavitary pulmonary histoplasmosis. The patient recovered completely following itraconazole treatment. This is the first case report of pulmonary histoplasmosis unconnected with either HIV infection or endemicity in Korea.

引用

页码：871 / 874

页数：4

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