[An immunocompromised patient with a histoplasmosis infection: a weakened patient's undisclosed trip]. / Histoplasmose bij een immuungecompromitteerde patiënt. De verzwegen tropenreis van een verzwakte man.
Ned Tijdschr Geneeskd
; 154: A1157, 2010.
Article
em Nl
| MEDLINE
| ID: mdl-20456801
ABSTRACT
A 69-year-old man with chronic lymphocytic leukemia presented with fever and a productive cough. He was diagnosed with a histoplasmosis infection, caused by the dimorphic fungus Histoplasma capsulatum, which is rare in the Netherlands but endemic in parts of the United States and South America. The patient was treated with high doses of itraconazole and gamma globulin infusions. This initially led to a clinical improvement, but eventually he developed a probable progressive histoplasmosis. The patient refused additional treatment and died. In immunocompromised patients, infections of the respiratory tract can be caused by a broad variety of agents. Knowledge of the patient's travel history is crucial to determine or exclude certain causal agents.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Viagem
/
Hospedeiro Imunocomprometido
/
Histoplasmose
Limite:
Aged
/
Humans
/
Male
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Ano de publicação:
2010
Tipo de documento:
Article