Journal
MEDICAL MYCOLOGY CASE REPORTS
Volume 30, Issue -, Pages 8-11Publisher
ELSEVIER
DOI: 10.1016/j.mmcr.2020.08.003
Keywords
Histoplasmosis; Gastrointestinal bleeding; Inflammatory bowel disease; Immunosuppression
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Disseminated histoplasmosis (DH) often mimics other diseases, leading to misdiagnosis and delays in treatment. We present a patient who developed DH after treatment with immunosuppressants for an initial diagnosis of inflammatory bowel disease (IBD). Upon diagnosing her with DH, liposomal amphotericin B was started, and she eventually recovered after a prolonged hospitalization. Intrabdominal histoplasmosis has many similarities with IBD. Treatment with immunosuppressants in undiagnosed histoplasmosis can lead to dissemination with potentially catastrophic results.
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