Presentation
An account is given of an unusual presentation of solitary Histoplasmosis duboisii of the jaw simulating a malignant neoplasm. [ncbi.nlm.nih.gov]
Immune System
- Generalized Lymphadenopathy
He had generalized lymphadenopathy and non-tender hepatomegaly. Examination of the respiratory system revealed bilateral coarse crackles. Other systemic examination and fundus examination were unremarkable. [ijstd.org]
The majority of AIDS patients with disseminated disease have CD4 counts The most common clinical findings include fever, hepatomegaly, splenomegaly, and generalized lymphadenopathy. [hivinsite.ucsf.edu]
Hepatosplenomegaly and generalized lymphadenopathy were present, and laboratory abnormalities included Hb 6.8 g/dL; LDH 1377 IU/L; and serum ferritin 2405 ng/mL. A chest radiogram was normal. [journals.lww.com]
Entire Body System
- Fever
[…] spirillary Rat bite fever streptobacillary Relapsing fever Respiratory syncytial virus infection Respiratory viruses miscellaneous Reyes syndrome Rheumatic fever Rhinoscleroma and ozena Rhinosporidiosis Rhodococcus equi infection Rickettsia sibirica [books.google.com]
Fevers may occur in anyone at any age; however, this article is specifically addressing fever in adults. Every one of us has experienced the wave of chills and exhaustion that a fever causes. [emedicinehealth.com]
A 23-year-old immunocompetent woman presented with a two-month history of fungating left shoulder and left elbow swellings associated with fever, weight loss and anaemia. [ncbi.nlm.nih.gov]
- Asymptomatic
A 59-year-old farmer presented with asymptomatic, generalized, reddish skin lesions of five months in duration. [ncbi.nlm.nih.gov]
Nature of the disease Most cases are asymptomatic. Some infections may cause acute pulmonary histoplasmosis, characterized by high fever, headache, non-productive cough, chills, weakness, pleuritic chest pain and fatigue. [who.int]
Approximately 90% of patients with acute pulmonary histoplasmosis are asymptomatic. [emedicine.medscape.com]
Symptoms In the majority of cases, the infection is asymptomatic – persons do not exhibit symptoms – or presents with mild symptoms, usually 3 to 17 days after exposure. [iamat.org]
- Inflammation
[…] with mcc 178 Respiratory infections and inflammations with cc 179 Respiratory infections and inflammations without cc/mcc 793 Full term neonate with major problems 974 Hiv with major related condition with mcc 975 Hiv with major related condition with [icd10data.com]
Persons with pre-existing conditions or those with compromised immune systems are at higher risk of developing severe symptoms like pneumonia, gastrointestinal bleeding, inflammation of the liver, heart, and brain, as well as ulcers of the mouth, tongue [iamat.org]
Histology of the liver, larynx and sections of the skin demonstrated pandermal necrotising granulomatous inflammation. [sajhivmed.org.za]
[…] lymph nodes Lesions are typically nodular or ulcerated with reddish-brown purulent exudate Common sites affected include: Hands, feet, buttocks, tail, face, ears, scrotum Enlarged regional lymph nodes TYPICAL LIGHT MICROSCOPIC FINDINGS: Pyogranulomatous inflammation [askjpc.org]
While most infections are mild, 10% of cases result in life-threatening complications such as inflammation of the pericardium and fibrosis of major blood vessels (Durkin, Kohler et al. 2001). [broadinstitute.org]
- Weight Loss
A 23-year-old immunocompetent woman presented with a two-month history of fungating left shoulder and left elbow swellings associated with fever, weight loss and anaemia. [ncbi.nlm.nih.gov]
The symptoms include weight loss, anorexia, and the appearance of bony lesions. [courses.lumenlearning.com]
Symptoms include weight loss, night sweats, a mild fever, and a general feeling of illness (malaise). Most people recover without treatment within 2 to 6 months. [merckmanuals.com]
Case 4 (Patient 72, Table 1) A 30-year-old man from the Ivory Coast who had been resident in Italy for 7 years was hospitalized in May 2003 for fever and weight loss of 1 month's duration. [journals.lww.com]
If the disease progresses without treatment, those affected may develop weight loss, shortness of breath, and fatigue. Ocular (eye) involvement in disseminated disease can cause loss of vision. [medicinenet.com]
- Falling
Zusammenfassung : In Siidafrika wurden zahlreiche Falle mit Histoplasmose durch Histo- plasma capsulatum var. capsulatum mit den entsprechenden parasitologischen Kriterien beobachtet. [documents.mx]
Falls, H. F. and Giles, C. L. : The use of amphotericin B in selected cases of chorioretinitis. Am. J. Ophth. 49:1288, 1960. 11. Giles, C. L. and Falls, H. F. : Further evaluation of amphotericin-B therapy in presumed histoplasmosis chorioretinitis. [docslide.com.br]
She also reported falling school grades and visual disturbances. Neurology referral was made in view of her new symptoms and magnetic resonance imaging (MRI) scan was normal. [mycology.imedpub.com]
Der Fall einer afrikanischen Histoplasmose bei einem 65jahrigen Belgier wird beschrieben; der Patient lebte 46 Jahre in Zaire. Im Knochenmark wurde mikroskopisch Histoplasma nachgewiesen. [docksci.com]
Ein Fall von AIDS-assoziierter Histoplasmose in Deutschland. Klin Wochenschr 1991; 69: 325–329. Google Scholar Salzman SH, Smith RL, Aranda CP. Histoplasmosis in patients at risk for the acquired immunodeficiency syndrome in a non-endemic setting. [link.springer.com]
Respiratoric
- Pneumonia
chlamydial pneumonia ( J16.0 ) gonorrheal pneumonia ( A54.84 ) histoplasmosis pneumonia ( B39.0- B39.2 ) measles pneumonia ( B05.2 ) nocardiosis pneumonia ( A43.0 ) pneumocystosis ( B59 ) pneumonia due to Pneumocystis carinii ( B59 ) pneumonia due [icd10data.com]
[…] infection Blastomycosis Botulism Brain abscess Brainerd diarrhea Brucellosis Bunyaviridae infections misc Campylobacteriosis Candidiasis Capillariasis extraintestinal Cercarial dermatitis Chancroid Chikungunya Chlamydia infections misc Chlamydophila pneumoniae [books.google.com]
As a result, Pneumocystis pneumonia (PCP) is also known as Pneumocystis jiroveci[i] pneumonia and (incorrectly) as Pneumocystis carinii pneumonia. [courses.lumenlearning.com]
- Cough
Most people do not have symptoms, but some feel sick and have a fever and cough, sometimes with difficulty breathing. Sometimes the infection spreads, causing the liver, spleen, and lymph nodes to enlarge and damaging other organs. [merckmanuals.com]
Some infections may cause acute pulmonary histoplasmosis, characterized by high fever, headache, non-productive cough, chills, weakness, pleuritic chest pain and fatigue. [who.int]
As in our patient, the symptoms of malaise, productive cough, fever, and night sweats in pulmonary histoplasmosis are similar to those of TB but are usually less severe [ 4 ]. [jmedicalcasereports.biomedcentral.com]
He later complained of worsening cough, pleuritic chest pain and dysphagia, presentation very similar to our case. [mycology.imedpub.com]
Symptoms include fever, headache, malaise, chest pain, night sweats, cough, and general weakness. [iamat.org]
- Sputum
The diagnosis can be definitively confirmed by histological identification of the causative organism in sputum or bronchio-alveolar lavage (lung rinse). [courses.lumenlearning.com]
One year and five months prior to his presentation to our hospital, he had presented to a peripheral hospital with similar symptoms and had been diagnosed with sputum acid-fast bacilli (AFB) and smear-positive TB. [jmedicalcasereports.biomedcentral.com]
For instance, in humans, a nurse may obtain a sputum sample from a patient to confirm or rule out histoplasmosis. The patient expectorates the phlegm in a sterile cup and the specimen is sent to a microbiology laboratory. [austincc.edu]
Definitive diagnosis is made by culturing and identifying Histoplasma capsulatum from biopsy, blood, or sputum samples. [emedicinehealth.com]
Culture and examination of samples of tissues or fluids Sometimes blood and urine tests Chest x-ray To diagnose histoplasmosis, doctors obtain samples of the sputum, urine, blood, or mouth ulcers (if present). [merckmanuals.com]
Cardiovascular
- Chest Pain
Histoplasmosis Symptoms Chest Pain There are many causes of chest pain. A serious form of chest pain is angina, which is a symptom of heart disease and results from inadequate oxygen supply to the heart muscle. [medicinenet.com]
Some infections may cause acute pulmonary histoplasmosis, characterized by high fever, headache, non-productive cough, chills, weakness, pleuritic chest pain and fatigue. [who.int]
Symptoms include fever, headache, malaise, chest pain, night sweats, cough, and general weakness. [iamat.org]
She was hospitalized again in three months with DIB along with new onset pleuritic chest pain. [mycology.imedpub.com]
Some signs and symptoms include fatigue, fever, headache, chest pains or pressure, and a dry non-productive cough. [7] There are four types of clinical manifestations if the patient has symptoms. [3] The least severe form is the acute benign respiratory [austincc.edu]
Liver, Gall & Pancreas
- Hepatosplenomegaly
Severe infections can cause hepatosplenomegaly, lymphadenopathy, and adrenal enlargement. Lesions have a tendency to calcify as they heal. [en.wikipedia.org]
On clinical examination, neither hepatosplenomegaly nor lymphadenopathy was found. Examination of other systems revealed no significant abnormality. [atmph.org]
The most common physical findings include rales, hepatosplenomegaly and lymphadenopathy. Mucosal ulcers are not common in the acute form but are common in the subacute and chronic forms. [ijstd.org]
Chest radiogram was normal but abdominal ultrasound showed hepatosplenomegaly and conglomerated hypodense lymph nodes in the left lower abdomen measuring 3 cm in diameter. [journals.lww.com]
- Hepatomegaly
Echography showed a homogeneous hepatomegaly. A right paracardiac infiltrate consistent with a bronchopneumonic focus was seen on the radiography. [docksci.com]
Other common findings included hepatomegaly in 30 (41.6%), splenomegaly in 27 (37.5%), lymphadenopathy in 20 (27.8%), and diarrhea in 15 (20.8%). [journals.lww.com]
He had generalized lymphadenopathy and non-tender hepatomegaly. Examination of the respiratory system revealed bilateral coarse crackles. Other systemic examination and fundus examination were unremarkable. [ijstd.org]
The majority of AIDS patients with disseminated disease have CD4 counts The most common clinical findings include fever, hepatomegaly, splenomegaly, and generalized lymphadenopathy. [hivinsite.ucsf.edu]
Examination often reveals hepatomegaly, splenomegaly or lymphadenopathy; and laboratory tests may show findings of bone marrow suppression and hepatitis. Shock and multi-organ failure may complicate severe cases ( 122 ). [antimicrobe.org]
Musculoskeletal
- Arthritis
[…] of the effects of systemic lupus erythematosus on health, function, income, and interpersonal relationships: A comparison with Wegener's granulomatosis ARTHRITIS-AND-RHEUMATISM-ARTHRITIS-CARE-AND-RESEARCH. [malattierare.regione.veneto.it]
[…] mongolotimonae infection Rickettsialpox Rift Valley fever Roseola or human herpesvirus 6 Rotavirus infection Rubella Salmonellosis Sarcocystosis SARS Scabies Scarlet fever Schistosomiasis haematobium Schistosomiasis mansoni Schistosomiasis mattheei Septic arthritis [books.google.com]
Another 5% may develop rheumatologic problems like arthritis or skin disorders such as erythema nodosum or erythema multiforme. [emedicinehealth.com]
Skin
- Cutaneous Manifestation
Our patient also had only cutaneous manifestations of the disease without any systemic involvement. [5] Bhagwat et al described two unusual cases of histoplasmosis in HIV - infected individuals. [atmph.org]
Keywords Cutaneous Lesion Cutaneous Manifestation Molluscum Contagiosum Oral Itraconazole Irreversible Renal Damage These keywords were added by machine and not by the authors. [link.springer.com]
Akinosi J.O. 1970 50 Cutaneous manifestations of African histoplasmosis. ( 5431549 ) Lucas A.O. 1970 [malacards.org]
Cutaneous manifestations of African histoplasmosis.Br 3 Dermatol 1970 ; 82 : 435 - 447. 4. Maya Sanyal, Thammayya. A Skin sensitivity to histoplasmin in Calcutta and its neighbourhood. Indian) Dermatol Venereol Leprol 1980 ; 46 : 94 - 98. 5. [ijdvl.com]
- Skin Ulcer
The disseminated form of Valley Fever can devastate the body, causing skin ulcers, abscesses, bone lesions, severe joint pain, heart inflammation, urinary tract problems, meningitis, and often death. [courses.lumenlearning.com]
Clinically a variety of skin lesions was described, the most common being papular or maculopapular manifestations that sometimes were ulcerated or had crusting. [journals.lww.com]
- Subcutaneous Nodule
One case had cutaneous papules and subcutaneous nodules all over his body while the other patient had cutaneous papules, an abscess over the right scapula, enlarged cervical, axillary and inguinal lymph nodes, and possible lung involvement. [ncbi.nlm.nih.gov]
Skin lesions include papules, pustules, folliculitis, ulcers, subcutaneous nodules, and roseacea-like eruptions. [antimicrobe.org]
- Skin Rash
Others are specific to individual body parts, such as skin rashes, coughing, or a runny nose. In certain cases, infectious diseases may be asymptomatic for much or even all of their course in a given host. [en.wikipedia.org]
Workup
The workup for suspected histoplasmosis should include test for antibodies and antigens. [mycology.imedpub.com]
An infectious disease team may be alerted when: The disease has not been definitively diagnosed after an initial workup The patient is immunocompromised (for example, in AIDS or after chemotherapy); The infectious agent is of an uncommon nature (e.g. [en.wikipedia.org]
X-Ray
- Pulmonary Infiltrate
Diagnosis and Treatment of Pneumocystis Pneumonia The diagnosis can be confirmed by the characteristic appearance of the chest x-ray, which shows widespread pulmonary infiltrates, and an arterial oxygen level (PaO2) that is strikingly lower than would [courses.lumenlearning.com]
Discussion Histoplasmosis can be classified into a spectrum of clinical diseases which includes acute pulmonary infiltration with or without lymph nodes enlargement, chronic cavitary lung disease, arthralgia, arthritis, pericarditis, fibrosing mediastinitis [mycology.imedpub.com]
Chronic pulmonary histoplasmosis is characterized by recurrent pulmonary symptoms, progressive lung infiltrates, fibrosis and cavitation ( 37, 119 ). Upper lobe infiltrates with cavities are present in most cases. [antimicrobe.org]
Localized pulmonary infiltrates were observed in 7 cases; a cavitary lesion in 1, and 16 patients had a normal pattern (30.7%). [journals.lww.com]
Microbiology
- Histoplasma Duboisii
From Wikidata Jump to navigation Jump to search Human disease histoplasma duboisii infection large form histoplasmosis infection by histoplasma duboisii edit English African histoplasmosis Human disease histoplasma duboisii infection large form histoplasmosis [wikidata.org]
First published: April 1982 Citations: 3 Abstract Resume: L'auteur compare l'histoplasmose africaine causée par Histoplasma duboisii et l'histoplasmose américaine causée par Histoplasma capsulatum. [onlinelibrary.wiley.com]
[…] of Histoplasma duboisii. [scirp.org]
The latter was proved by culture and histopathology to be due to Histoplasma duboisii. The fungus was confined to the skin. H. duboisii may be more prevalent, and further studies in Dindir area are needed. [ncbi.nlm.nih.gov]
- Candida
Kandidose -Abszess Candida-Befall Candida-Infektion Candida-Mykose Candida.... [icd-code.de]
H. duboisii was cultivated from the spleen, Candida albicans and C. parapsilosis were cultivated from all four samples. The interperitoneal inoculation of hamsters confirmed H. duboisii diagnosis. [docksci.com]
Antibodies to antigens of Histoplasma, Blastomyces and Candida in HIV patients and carriers in Nigeria. Mycoses, 43, 173–175, 2000. CrossRef PubMed CAS Google Scholar Abrucio Neto, L., Takahashi, M. D. F., Salebian, A., and Cuce, L. C. [link.springer.com]
On a morphological level, Histoplasma may be confused with Candida glabrata; Penicillium marneffei, Cryptococcus neoformans, and the amastigote form of trypanosomes, hence the interest in the research of a blood or urine antigen for Histoplasma to facilitate [omicsonline.org]
Other Pathologies
- Granulomatous Tissue
Histological examination of the specimens disclosed granulomatous tissue composed of numerous multinucleated giant cells. [anafrimed.net]
An iliac bone biopsy performed revealed a giant cell granulomatous tissue, with large ovoid yeast consistent with Histoplasma duboisii. [scirp.org]
Kradin-RL; Mark-EJ; Belley-G; Norris-PJ; Ton-F A 48-year-old man with a cough and bloody sputum - Wegener's granulomatosis, with microabscesses, capillaritis, granulomatous vasculitis, diffuse granulomatous tissue, and palisading granuloma. [malattierare.regione.veneto.it]
Treatment
Typical treatment of severe disease first involves treatment with amphotericin B, followed by oral itraconazole.Liposomal preparations of amphotericin B are more effective than deoxycholate preparations. [en.wikipedia.org]
Both patients with cutaneous disease responded to treatment, although one was lost to follow-up. [ncbi.nlm.nih.gov]
Without treatment, this form is fatal in more than 90% of people. Even with treatment, death may occur rapidly in people with AIDS. [merckmanuals.com]
Eight months after the end of itraconazole treatment, the child suffered a relapse, resulting in re-administration of longterm treatment. [popline.org]
Prognosis
It is worth considering this pathology at least for three reasons: it usually mimicks a malignant jaw tumor; it may constitute a migrant pathology; and prognosis is commonly favorable with amphotericin B treatment. [ncbi.nlm.nih.gov]
Disseminated disease has a grave prognosis, especially if the liver and spleen are involved. Amphotericin B, itraconazole or fluconazole are the drugs of choice [6, 36, 1690, 2302]. [drfungus.org]
What is the prognosis of histoplasmosis? People with mild symptoms of histoplasmosis usually resolve the disease on their own without treatment. In more severe cases, the prognosis is good for those who receive appropriate treatment. [medicinenet.com]
Clinical observations, with special reference to factors influencing prognosis, Rev. Infect. [books.google.com]
Etiology
Care must be taken to ensure that B. dermatitidis is not confused with the etiologic agent of histoplasmosis duboisii since they both occur in Africa. [drfungus.org]
The natural reservoir of the etiological agent has only been recently discovered in a bat cave in Nigeria. The status of asymptomatic infection is not certain. [ncbi.nlm.nih.gov]
ETIOLOGIC DIAGNOSIS: Cutaneous histoplasmosis CAUSE: Histoplasma capsulatum var. duboisii CONDITION: African histoplasmosis SYNONYMS: Large-form histoplasmosis GENERAL DISCUSSION: Chronic granulomatous disease that primarily affects the skin and bone, [askjpc.org]
S., Kuo, C., Berger, K., Shuster, JR, Overby, LR, Bradley, DW, and Houghton, M., An assay for circulating antibodies to a major etiologic virus of human non-A, non-B hepatitis, Science, 244, 362, 1989. [books.google.com]
PATHOGENICITY Histoplasma capsulatum is the etiologic agent of histoplasmosis in man and other mammals, an infection most often presenting in a benign pulmonary form, but occasionally progressing to a life-threatening, disseminated form particularly affecting [catalog.hardydiagnostics.com]
Epidemiology
[…] the now frequent occurrence of Histoplasma capsulatum histoplasmosis in HIV-infected subjects in North America; the difference is likely to be due to differences in exposure to the fungus rather than to differences in behaviour of the fungus or in the epidemiology [ncbi.nlm.nih.gov]
[…] manifestations cutan{\'e}es de l'histoplasmose africaine", keywords = "B780-tropical-medicine, Mycoses, Histoplasmosis, Histoplasma duboisii, Dermatology, Skin lesions, Africa, Africa-Central, Congo-Kinshasa, Rwanda, Burundi, Histopathology, Treatment, Epidemiology [pure.itg.be]
The study considers: the prevalence and geographic distribution of the two diseases, their symptomatology, diagnosis, epidemiology, and finally the nomenclature of their agents. [onlinelibrary.wiley.com]
A comprehensive, and profusely illustrated description of the common and uncommon images which will be found in a wide range of tropical diseases, correlated with the clinical and laboratory findings, and the epidemiology and pathology. [books.google.com]
Pathophysiology
[…] including the GI tract; most often the liver and spleen In the GI tract the terminal ileum is most commonly involved Involvement of the colon occurs in just over half of cases with GI tract involvement Involvement of multiple sites in the GI tract is common Pathophysiology [pathologyoutlines.com]
We sought to report a rare case of vertebral histoplasmosis associated with multiple osseous localization of Histoplasma duboisii to investigate its pathophysiology and discuss the diagnosis and treatment. 2. Observation Mr. [scirp.org]
McKinsey DS, Spiegel RA, Hutwagner L, Stanford J, Driks MR, et al. (1997) Prospective study of histoplasmosis in patients infected with human immunodeficiency virus: incidence, risk factors, and pathophysiology. Clin Infect Dis 24: 1195-1203. [omicsonline.org]
Prospective study of histoplasmosis in patients infected with human immunodeficiency virus: Incidence, risk factors and pathophysiology. Clin Infect Dis 1997;24:1195-203. [ PUBMED ] 3. [ijstd.org]
[…] profound, can calcify Extrapulmonary findings: Liver and spleen calcifications, adrenals, oral ulcers, bone marrow Differentials: Sarcoidosis and tuberculosis Usual treatment: Itraconazole; amphotericin for severe or diffuse disease Prognosis: Excellent Pathophysiology [emedicine.medscape.com]
Prevention
There is no vaccine or preventive medication against Histoplasmosis. Information last updated: December 11, 2017 [iamat.org]
How Can One Prevent Histoplasmosis? There is no vaccine to prevent histoplasmosis. The CDC recommends people "avoid areas with accumulations of bird or bat droppings, especially if you have a weakened immune system. [emedicinehealth.com]
Prevention[edit] Washing one's hands, a form of hygiene, is an effective way to prevent the spread of infectious disease.[36] Techniques like hand washing, wearing gowns, and wearing face masks can help prevent infections from being passed from one person [en.wikipedia.org]
Science Pagina 305 - Silva P (1994) Effects of saline, mannitol, and furosemide to prevent acute decreases in renal function induced by Pagina 465 - Bennett NT, Schultz GS (1993) Growth factors and wound healing: part II. [books.google.it]