Bronchopleurocutaneous Fistula Due to Infection with Histoplasma Capsulatum

Autor: Johns, Leo E., Garrison, Robert G., White, Thomas G.
Zdroj: Chest; April 1973, Vol. 63 Issue: 4 p638-641, 4p
Abstrakt: We report the case of a patient admitted with a draining sinus tract of the chest wall, which was shown to be a bronchopieurocutaneous fistula. Numerous colonies of both albino and brown filamentous Histoplasma capsulatum were demonstrated subsequently from both sputum and sinus tract drainage material. Exhaustive cultural procedures were negative in an attempt to establish an etiologic relationship of the fistula with other bacterial or fungal organisms. Therapy was instituted with intravenous amphotericin B followed by subsidence of symptoms and healing of the fistulous tract We believe this to be the first case report of pulmonary histoplasmosis presenting in this manner.
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