RESUMO
Histoplasmosis is recognized to occur in the Ohio and Mississippi River Valleys of the United States, but less widely appreciated is its worldwide distribution. We report a case of disseminated histoplasmosis with disease involving skin, lungs, and epiglottis in a renal transplant patient 6 months after a trip to Bangladesh, to highlight the potential risk of acquisition of this infection in the Indian subcontinent.
Assuntos
Histoplasma , Histoplasmose/etiologia , Hospedeiro Imunocomprometido , Transplante de Rim , Bangladesh , Dermatomicoses/etiologia , Epiglotite/etiologia , Humanos , Pneumopatias Fúngicas/etiologia , Masculino , Pessoa de Meia-Idade , Ohio , Infecções Oportunistas/etiologia , Complicações Pós-Operatórias/etiologia , Fatores de Risco , ViagemRESUMO
Snoek was implicated in the food poisoning of 2 people in Bloemfontein. The patients' symptoms and culture of snoek samples suggested Staphylococcus aureus as the causative agent. Enumeration of S. aureus by selective procedures gave counts of 200 000 per gram in snoek obtained from the patients and from the butchery supplying the snoek. Investigations indicated that the snoek was heavily contaminated with S. aureus before arrival at the butchery and that the organisms grew as a result of mishandling after processing.