Oral histoplasmosis: a case report

We report a case of biopsy-proven histoplasmosis in an 81-year-old man with mouth ulcers. The initial infection was probably contracted whilst he was a prisoner of war in Sumatra, and was reactivated during intercurrent illness with congestive cardiac failure and oral corticosteroid treatment for id...

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Veröffentlicht in:	The Journal of infection 1998-07, Vol.37 (1), p.73-75
Hauptverfasser:	Mead, G.E., Wilks, D., McLaren, K., Fergusson, R.J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adrenal Cortex Hormones - therapeutic use Aged Aged, 80 and over Antibodies, Antineutrophil Cytoplasmic - blood Biological and medical sciences Biopsy Diagnosis, Differential Heart Failure - complications Histoplasma Histoplasma - isolation & purification Histoplasmoses Histoplasmosis - diagnosis Human mycoses Humans Infectious diseases Male Medical sciences Mycoses Oral Ulcer - microbiology Purpura, Thrombocytopenic - therapy Tropical mycoses
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Zusammenfassung:	We report a case of biopsy-proven histoplasmosis in an 81-year-old man with mouth ulcers. The initial infection was probably contracted whilst he was a prisoner of war in Sumatra, and was reactivated during intercurrent illness with congestive cardiac failure and oral corticosteroid treatment for idiopathic thrombocytopaenic purpura. Of particular note is the latent period of 50 years, and a positive cytoplasmic antineutrophil cytoplasmic antibody (cANCA) titre.
ISSN:	0163-4453 1532-2742
DOI:	10.1016/S0163-4453(98)90905-7