Intestinal histoplasmosis in immunocompetent patient: An unusual cause of massive small intestine bleeding

Autor: Fabian Tafoya-Ramírez, Ediel O. Dávila-Ruiz, Javier Fabián Fabián, José M. Aguirre-Trejo, Roberto Armando García-Manzano, Gustavo A. Santos-Chab, Elisa Jiménez-Rivera
Rok vydání: 2021
Předmět:
Zdroj: Revista Médica del Hospital General de México, Vol 84, Iss 3 (2021)
ISSN: 2524-177X
DOI: 10.24875/hgmx.20000062
Popis: Small bowel bleeding (SBB) accounts for 5-10% of patients with gastrointestinal bleeding and its association is unusual in patients with histoplasmosis. The incidence of gastrointestinal histoplasmosis is unknown since only 3-12% present symptoms, predominantly in immunocompromised patients. However, in immunocompetent hosts, it is reported only in 0.05% of cases. A clinical case of an immunocompetent patient with massive SBB, Grade IV hypovolemic shock associated with systemic histoplasmosis and treated with intestinal resection and amphotericin B is hereby discussed.
Databáze: OpenAIRE