Histoplasmosis-induced ileal perforation in a patient with acquired immune deficiency syndrome: Case report
| Autor: | Carlos García Encinas, Jorge Espinoza-Ríos, Álvaro Bellido-Caparó, Sandra Delgado Málaga, Martín Tagle Arróspide, Jaime Cáceres Pizarro |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Abdominal pain Ileal Perforation Hepatology business.industry Anemia 030106 microbiology Perforation (oil well) Gastroenterology medicine.disease Histoplasmosis 03 medical and health sciences Ileocecal valve 0302 clinical medicine medicine.anatomical_structure Pneumoperitoneum Internal medicine medicine 030212 general & internal medicine Hypoalbuminemia medicine.symptom business |
| Zdroj: | JGH Open. 2:166-168 |
| ISSN: | 2397-9070 |
| DOI: | 10.1002/jgh3.12048 |
| Popis: | Intestinal involvement with disseminated histoplasmosis is common in some populations infected with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), especially in those who come from tropical zones. We report the case of a 29-year-old male patient, from a tropical zone, with HIV infection and a CD4 value less than 50 cells/mm3, with a history of abdominal pain, fever, diarrhea, and weight loss. On presentation, he was pale, sweaty, and had abdominal rebound tenderness. Laboratory findings demonstrated microcitic hipocromic anemia, azoemia, and hypoalbuminemia. Abdominal-X-rays revealed pneumoperitoneum and air fluid levels. He underwent surgery, and a 1-cm perforation proximal to ileocecal valve was found. A resection and an ileostomy were performed. Histopathology identified caseating granulomas with yeast, compatible with histoplasmosis. He was treated with anfotericin B plus itraconazol with clinical improvement. |
| Databáze: | OpenAIRE |
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