Disseminated Histoplasmosis in an Elderly Man Presented with Fever, Weight loss, Abdominal Pain and Haemoptysis - A Case Report with Literature Review

Authors

  • Mohammad Robed Amin Assistant Professor
  • Farzana Shumi Honorary Medical Officer, Department of Medicine, Dhaka Medical College
  • Hasibuddin Khan Honorary Medical Officer, Department of Medicine, Dhaka Medical College
  • Syed Ahmed Abdullah Honorary Medical Officer, Department of Medicine, Dhaka Medical College
  • Shafiul Alam Indoor Medical Officer, Department of Medicine, Dhaka Medical College
  • Ahmed Riyad Hussain Assistant Registrar, Department of Medicine, Dhaka Medical College
  • MA Kahhar Professor, Department of Medicine, Dhaka Medical College.

DOI:

https://doi.org/10.3329/jom.v12i1.6745

Keywords:

Disseminated Histoplasmosis, Mycosis, Immunosuppression, Adrenal Gland, Bangladesh

Abstract

An elderly patient presented with prolonged fever, gross weight loss, recurrent haemoptysis and abdominal pain. He had a background history of adrenal tuberculosis with completion of treatment without any obvious improvement. Clinically he was diagnosed as a case of adrenocotical insufficiency. Evaluation including histopathology revealed the diagnosis as disseminated histoplasmosis involving adrenal gland and lungs. The disease is a rarity without any underneath immunosuppression and hence high index of suspicion with appropriate steps for investigation is the key to achieve a diagnosis of disseminated histoplasmosis in Bangladesh.

Keyword: .

DOI: 10.3329/jom.v12i1.6936

J Medicine 2011; 12 : 81-85

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Author Biography

Mohammad Robed Amin, Assistant Professor

Assistant Professor

Department of Medicine

Dhaka Medical College

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Published

2011-01-21

How to Cite

Amin, M. R., Shumi, F., Khan, H., Abdullah, S. A., Alam, S., Hussain, A. R., & Kahhar, M. (2011). Disseminated Histoplasmosis in an Elderly Man Presented with Fever, Weight loss, Abdominal Pain and Haemoptysis - A Case Report with Literature Review. Journal of Medicine, 12(1), 81–85. https://doi.org/10.3329/jom.v12i1.6745

Issue

Section

Case Reports