Disseminated histoplasmosis presenting as esophageal ulceration in an HIV-infected man

Uriel Sandkovsky, Karim F. Ali, Trevor C VanSchooneveld, Stanley J Radio, Susan Swindells

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

ABSTRACT: A 30-year-old man with advanced human immunodeficiency virus-infection presented with worsening dysphagia and odynophagia of 4 months' duration. He had been on a revised combination antiretroviral regimen for 3 months with a recent CD4 count of 57 cells/mm and human immunodeficiency virus viral load of less than 50 copies/mL. Esophagogastroduodenoscopy showed erosive esophagitis and esophageal ulcers. Histopathologic examination was negative for herpes viruses and cytomegalovirus but showed intracellular yeast consistent with histoplasmosis. Histoplasma antigenuria was more than 39 ng/mL, which confirmed the diagnosis of disseminated histoplasmosis. After 3 weeks of treatment with liposomal amphotericin B and significant improvement, antifungal therapy was changed to itraconazole suspension. Histoplasma capsulatum is well known to cause gastrointestinal involvement in patients with acquired immunodeficiency syndrome, but esophageal involvement is rare.

Original languageEnglish (US)
Pages (from-to)383-385
Number of pages3
JournalInfectious Diseases in Clinical Practice
Volume21
Issue number6
DOIs
StatePublished - Nov 1 2013

Fingerprint

Histoplasma
Histoplasmosis
HIV
Digestive System Endoscopy
Itraconazole
Esophagitis
Virus Diseases
CD4 Lymphocyte Count
Deglutition Disorders
Viral Load
Cytomegalovirus
Ulcer
Suspensions
Acquired Immunodeficiency Syndrome
Yeasts
Viruses
Therapeutics
liposomal amphotericin B

Keywords

  • AIDS
  • HIV infection
  • esophageal ulceration
  • esophagitis
  • histoplasmosis

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Disseminated histoplasmosis presenting as esophageal ulceration in an HIV-infected man. / Sandkovsky, Uriel; Ali, Karim F.; VanSchooneveld, Trevor C; Radio, Stanley J; Swindells, Susan.

In: Infectious Diseases in Clinical Practice, Vol. 21, No. 6, 01.11.2013, p. 383-385.

Research output: Contribution to journalArticle

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