4.2 Article

Gastrointestinal histoplasmosis in a patient after autologous stem cell transplant for multiple myeloma

Journal

TRANSPLANT INFECTIOUS DISEASE
Volume 18, Issue 6, Pages 939-941

Publisher

WILEY-BLACKWELL
DOI: 10.1111/tid.12619

Keywords

FDG PET CT; gastrointestinal histoplamosis; Histoplasma; histoplasmosis; myeloma; stem cell transplant

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A 59-year-old patient with multiple myeloma on maintenance chemotherapy presented with fever, weight loss, and night sweats. An F-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) computed tomography (CT) showed intra-abdominal lymphadenopathy with a mesenteric mass that led to further workup and diagnosis of histoplamosis. The patient was treated with amphotericin B and subsequently switched to itraconazole. This exemplifies the usefulness of FDG PET CT in diagnosis of infectious complications.

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