| Recurrent histoplasmosis in AIDS mimicking a colonic carcinoma. | |
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MedLine Citation:
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PMID: 19451333 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The prevalence rate of lower gastrointestinal bleeding in patients with AIDS is around 2.6%. A 42-year-old woman with AIDS (CD(4) count 9/microL) and recently treated for disseminated histoplasmosis presented to the emergency room with melena, severe anaemia and fever. A colonoscopy showed an umbilicated colonic nodule mimicking a carcinoma of the colon. The biopsy showed intracytoplasmic microorganisms compatible with Histoplasma capsulatum. She had poor compliance to the itraconazole when discharge on previous admission. Despite the fact that colonic histoplasmosis is uncommon, the mortality rate is around 8% and clinicians should be aware of the clinical presentation of histoplasmosis when recur, especially in patients not taking the itraconazole for long-term treatment. |
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Authors:
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G Aisenberg; L A Marcos; I Ogbaa |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of STD & AIDS Volume: 20 ISSN: 0956-4624 ISO Abbreviation: Int J STD AIDS Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-19 Completed Date: 2009-08-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9007917 Medline TA: Int J STD AIDS Country: England |
Other Details:
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Languages: eng Pagination: 429-30 Citation Subset: IM; X |
Affiliation:
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Internal Medicine Department, University of Texas Health Science Center, Houston, TX 77030, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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AIDS-Related Opportunistic Infections
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diagnosis*,
microbiology Adult Carcinoma / diagnosis* Colonic Neoplasms / diagnosis* Diagnosis, Differential Female Gastrointestinal Hemorrhage / etiology*, microbiology HIV Infections / complications*, virology HIV-1 Histoplasma / isolation & purification Histoplasmosis / complications, diagnosis*, microbiology Humans Recurrence |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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