Ileocecal histoplasmosis simulating Crohn disease in a patient with hyperimmunoglobulin E syndrome.

Steiner, Steven J; Kleiman, Martin B; Corkins, Mark R; Christenson, John C; Wheat, L Joseph

Steiner, Steven J; Kleiman, Martin B; Corkins, Mark R; Christenson, John C; Wheat, L Joseph.

Afiliação

Steiner SJ; Division of Pediatric Gastroenterology/Hepatology/ Nutrition, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN 46202-5225, USA. ssteiner@inpui.edu

Pediatr Infect Dis J ; 28(8): 744-6, 2009 Aug.

Article em En | MEDLINE | ID: mdl-19633521

ABSTRACT

ABSTRACT

We describe a 14-year-old girl with hyperimmunoglobulin E (Job) syndrome who presented with fatigue, abdominal pain, fever, and weight loss. Endoscopic examination of the terminal ileum revealed ulceration, edema, and erythema. Histopathologic findings of the terminal ileum demonstrated intracellular yeast forms compatible with Histoplasma capsulatum. The patient was treated with oral itraconazole and had a rapid and complete response.

Assuntos

Histoplasmose/complicações; Histoplasmose/diagnóstico; Síndrome de Job/complicações; Adolescente; Antifúngicos/uso terapêutico; Ceco; Doença de Crohn; Diagnóstico Diferencial; Feminino; Histoplasma/isolamento & purificação; Histoplasmose/tratamento farmacológico; Histoplasmose/patologia; Humanos; Íleo; Itraconazol/uso terapêutico

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Histoplasmose / Síndrome de Job Tipo de estudo: Diagnostic_studies Limite: Adolescent / Female / Humans Idioma: En Ano de publicação: 2009 Tipo de documento: Article

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