Disseminated histoplasmosis as presenting feature of acquired immunodeficiency syndrome: a case report

  • Roksana Yasmin Assistant Registrar, Medicine, BIRDEM, Dhaka
  • Muhammad Abdur Rahim Registrar, BIRDEM, Dhaka
  • Hasna Fahmima Haque Senior Medical Officer, BIRDEM, Dhaka
  • Pratik Dewan Senior Medical Officer, BIRDEM, Dhaka
  • Jamal Uddin Ahmed Registrar, BIRDEM, Dhaka
  • AKM Shaheen Ahmed Assistant Professor, BIRDEM, Dhaka
  • Md Delwar Hossain Associate Professor, BIRDEM, Dhaka
  • AKM Musa Associate Professor, BIRDEM, Dhaka
  • Khwaja Nazim Uddin Professor and Head, BIRDEM, Dhaka
Keywords: Disseminated histoplasmosis, AIDS, immunocompromized

Abstract

Histoplasmosis is a mild self-limiting respiratory illness in immune-competent individuals. It disseminates in immune-suppressed states like patients with human immunodeficiency virus (HIV) infection, haematological malignancies, post transplant states and patients receiving immunesuppressive therapy. Here we report a case of disseminated histoplasmosis in a 45 year old diabetic, returning worker who presented with fever, cough, rash, oro-genital ulcer and weight loss. He was anaemic, there was crepitation on lung auscultation and hepatomegaly. Diagnostic workup revealed HIV infection with disseminated histoplasmosis. Intravenous amphotericin B was started along with other supportive therapy and for anti-retroviral therapy he was sent to a referral center. Being an uncommon condition in our perspective, we are reporting the case.

DOI: http://dx.doi.org/10.3329/bjmed.v24i2.20221

Bangladesh J Medicine 2013; 24 : 78-81

Downloads

Download data is not yet available.
Abstract
853
PDF
420
Published
2014-08-27
How to Cite
Yasmin, R., Rahim, M. A., Haque, H., Dewan, P., Ahmed, J., Ahmed, A., Hossain, M. D., Musa, A., & Uddin, K. (2014). Disseminated histoplasmosis as presenting feature of acquired immunodeficiency syndrome: a case report. Bangladesh Journal of Medicine, 24(2), 78-81. https://doi.org/10.3329/bjmed.v24i2.20221
Section
Case Reports