SEPTIC SHOCK IN PATIENT WITH DISSEMINATED HISTOPLASMOSIS ASSOCIATED WITH AIDS: A CASE REPORT
| Autor: | Daniella Cristina Nassau, Janice Mendes Stuart, Fabiano de Oliveira Poswar, Jorge Patrick Oliveira Feliciano, Jair Almeida Carneiro |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
lcsh:Arctic medicine. Tropical medicine Systemic mycosis business.industry Septic shock lcsh:RC955-962 General Medicine Serious infection medicine.disease Dermatology Histoplasmosis Acquired Immune Deficiency Syndrome Infectious Diseases Acquired immunodeficiency syndrome (AIDS) Mycoses Disseminated histoplasmosis Immunology Medicine In patient Respiratory system business |
| Zdroj: | Revista do Instituto de Medicina Tropical de São Paulo, Vol 55, Iss 4, Pp 283-286 (2013) Revista do Instituto de Medicina Tropical de São Paulo, Volume: 55, Issue: 4, Pages: 283-286, Published: JUL 2013 |
| ISSN: | 1678-9946 |
| Popis: | SUMMARY Histoplasmosis is a systemic mycosis caused by Histoplasma capsulatum, which may present itself as a serious infection in immunocompromised individuals. We present a case of 31-year-old female with newly diagnosed HIV infection and history of fever, general and respiratory symptoms and diffuse hyperchromic papules through the body. She was admitted, with rapid progression to septic shock, and the presence of neutrophils filled with yeast-like organisms was detected on peripheral blood smear hematoscopia on the third day of hospitalization. The following is a brief review on the clinical picture and management of histoplasmosis. RESUMO A histoplasmose é micose sistêmica causada por Histoplasma capsulatum, a qual pode se apresentar de forma grave em indivíduos imunocomprometidos. Neste trabalho, apresenta-se o caso de paciente feminino, 31 anos, com diagnóstico recente de infecção por HIV e quadro de febre, sintomas gerais e respiratórios e pápulas hipercrômicas difusas pelo corpo. Foi internada, apresentando progressão rápida para choque séptico, sendo detectada a presença de leveduras inclusas em neutrófilos à hematoscopia no terceiro dia de internação. Apresenta-se uma revisão breve sobre a apresentação e o manejo clínico da histoplasmose. |
| Databáze: | OpenAIRE |
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