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• W2550751574 abstract "Histoplasmosis is well characterized as an endemic fungal disease restricted to certain areas of the USA. In Middle Europe, most patients present with acute pulmonary symptoms after travelling to endemic areas. Here, we want to illustrate the case of a 67-year-old man who presented with persistent oral ulcers, hoarseness, dysphagia, diarrhea, and weight loss to our Department of Otorhinolaryngology in December 2014. He was a retired construction worker and had a history of soil-disruptive activities in Africa and Middle and South America during employment. A positron emission tomography-computed tomography scan revealed prominent hypermetabolic lesions in the cecum and the lung, pointing towards a malignant disease. Surprisingly, histological examination of colonic and oral biopsies revealed abundant intracellular fungal elements, highly suspicious of <i>Histoplasma capsulatum</i>. Diagnosis was finally confirmed by panfungal polymerase chain reaction. Upon treatment with liposomal amphotericin followed by itraconazole, the severely ill patient showed an impressive clinical response. This case describes a disseminated manifestation of <i>H. capsulatum</i> years after the first exposure in an otherwise immunocompetent patient descending from a nonendemic area." @default.
• W2550751574 created "2016-11-30" @default.
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• W2550751574 date "2016-11-07" @default.
• W2550751574 modified "2023-09-26" @default.
• W2550751574 title "Disseminated Histoplasmosis: A Challenging Differential Diagnostic Consideration for Suspected Malignant Lesions in the Digestive Tract" @default.
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• W2550751574 doi "https://doi.org/10.1159/000452203" @default.
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