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Fakhfakh N, Abdelmlak R, Aissa S, Kallel A, Boudawara Y, Bel Hadj S, Ben Romdhane N, Touiri Ben Aissa H, Kallel K. Disseminated histoplasmosis diagnosed in the bone marrow of an HIV-infected patient: First case imported in Tunisia. J Mycol Med 2018. [PMID: 29519625 DOI: 10.1016/j.mycmed.2018.02.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Histoplasmosis is a fungal infection caused by a dimorphic fungus, Histoplasma capsulatum. We report a first case of disseminated histoplasmosis in a 34-year-old woman, infected with human immunodeficiency virus (HIV), originating from Ivory Coast and living in Tunisia for 4 years. She was complaining from fever, chronic diarrhoea and pancytopenia. The Histoplasma capsulatum var. capsulatum was identified by direct microscopic examination of the bone marrow. She was treated by Amphotericin B, relayed by itraconazole. Even though a regression of symptoms and normalization of blood cell count (BCC), the patient died in a respiratory distress related to CMV hypoxemic pneumonia.
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Affiliation(s)
- N Fakhfakh
- Laboratory of Parasitology-Mycology, Rabta Hospital, Jabbari street, 1007 Tunis, Tunisia; Infectious diseases ward, Rabta Hospital, Tunis, Tunisia
| | - R Abdelmlak
- Infectious diseases ward, Rabta Hospital, Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
| | - S Aissa
- Infectious diseases ward, Rabta Hospital, Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
| | - A Kallel
- Laboratory of Parasitology-Mycology, Rabta Hospital, Jabbari street, 1007 Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
| | - Y Boudawara
- Laboratory of Parasitology-Mycology, Rabta Hospital, Jabbari street, 1007 Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
| | - S Bel Hadj
- Laboratory of Parasitology-Mycology, Rabta Hospital, Jabbari street, 1007 Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
| | - N Ben Romdhane
- Laboratory of Hematology, Rabta Hospital, Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
| | - H Touiri Ben Aissa
- Infectious diseases ward, Rabta Hospital, Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
| | - K Kallel
- Laboratory of Parasitology-Mycology, Rabta Hospital, Jabbari street, 1007 Tunis, Tunisia; Université de Tunis El Manar, faculté de médecine de Tunis, Tunis, Tunisia
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