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Disseminated histoplasmosis and AIDS at the University Hospital of the West Indies. A case report
Nicholson, A. M; Rainford, L; Elliott, V; Christie, C. D.
Afiliação
  • Nicholson, A. M; University of the West Indies. Kingston. JM
  • Rainford, L; University of the West Indies. Kingston. JM
  • Elliott, V; University of the West Indies. Kingston. JM
  • Christie, C. D; University of the West Indies. Kingston. JM
West Indian med. j ; 53(2): 126-130, Mar. 2004.
Article em En | LILACS | ID: lil-410522
Biblioteca responsável: BR1.1
ABSTRACT
Disseminated histoplasmosis is rare in Jamaica. However, with the increase in the number of immunocompromised patients in the population, the prevalence of this infection is likely to increase. We present a case of disseminated histoplasmosis in a 16-year-old girl with the acquired immune deficiency syndrome who presented to the Paediatric Infectious Diseases Service of the University Hospital of the West Indies, with cervical lymphadenitis progressing to ulcers and abscesses showing granulomatous inflammation likely to be of fungal aetiology. She later presented to the Emergency Room, with respiratory and gastrointestinal symptoms and was admitted to hospital, disoriented and with a persistent fever. She developed nuchal rigidity while in hospital and was anaemic, leukopaenic and thrombocytopaenic. She died of gastrointestinal bleed ten days post admission. She was the oldest known survivor of mother-to-child-transmission of human immunodeficiency virus in Jamaica. The slow growing fungus, Histoplasma capsulatum, was isolated from the patient's blood three weeks after the specimen was sent to the laboratory
Assuntos
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Coleções: 01-internacional Base de dados: LILACS Assunto principal: Infecções Oportunistas Relacionadas com a AIDS / Histoplasmose Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans País/Região como assunto: Caribe / Caribe ingles / Jamaica Idioma: En Revista: West Indian med. j Assunto da revista: MEDICINA Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Jamaica País de publicação: Jamaica
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Coleções: 01-internacional Base de dados: LILACS Assunto principal: Infecções Oportunistas Relacionadas com a AIDS / Histoplasmose Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans País/Região como assunto: Caribe / Caribe ingles / Jamaica Idioma: En Revista: West Indian med. j Assunto da revista: MEDICINA Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Jamaica País de publicação: Jamaica