Progressive gastrointestinal histoplasmosis leading to colonic obstruction two years after initial presentation.
case_report · Level V
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Abstract
A 37-yr-old man from Ecuador presented with abdominal pain, diarrhea, and weight loss. Endoscopy revealed duodenal histoplasmosis. The patient improved with antifungal therapy but was readmitted 2 yr later with diarrhea and fever. Colonoscopy revealed histoplasmosis lesions, including a constricting transverse colon lesion. The patient refused surgery and died of colonic perforation. We discuss the diagnosis and management of gastrointestinal histoplasmosis in this report.
Medical subject headings
- Colonic Diseases
- Histoplasmosis
- Intestinal Obstruction
- Intestinal Perforation