A Case of Disseminated Histoplasmosis From California, in the Setting of Secondary Hemophagocytic Lymphohistiocytosis: A Diagnostic Challenge
JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS(2023)
摘要
Histoplasma capsulatum is a geographically specific dimorphic fungus that can cause a spectrum of diseases. While most cases are asymptomatic pulmonary infections, in severe cases, particularly in immunocompromised patients, disseminated disease can occur. Histoplasmosis in California is limited to only a few case reports. In this article, we describe a rare case of disseminated histoplasmosis in a non-endemic region presenting with diagnostically challenging symptomatology, including altered mental status, status epilepticus, septic shock, and bilateral adrenal masses.
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关键词
Histoplasma capsulatum,hemophagocytic lymphohistiocytosis,bilateral adrenal masses,fungus,dissemination,infectious disease
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