Disseminated histoplasmosis in an infant with acquired immunodeficiency syndrome
Disseminated histoplasmoids has been recognized as a serious opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). However, cases reported in the literature have been predominantly in adult patients. Here we report an infant with AIDS who presented with fever, cough, rh...
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| Published in | The Journal of infection Vol. 37; no. 3; pp. 298 - 301 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Kidlington
Elsevier Ltd
01.11.1998
Elsevier |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Disseminated histoplasmoids has been recognized as a serious opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). However, cases reported in the literature have been predominantly in adult patients. Here we report an infant with AIDS who presented with fever, cough, rhinorrhea, hepatosplenomegaly, pancytopenia and coagulopathy, and died of respiratory failure. Autopsy revealed disseminated histoplasmosis involving multiple organs including lungs, intestines, liver, spleen, bone marrow, lymph nodes, kidneys, and meninges. The diagnosis was established based on histomorphology and confirmed by blood culture. |
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| AbstractList | Disseminated histoplasmosis has been recognized as a serious opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). However, cases reported in the literature have been predominantly in adult patients. Here we report an infant with AIDS who presented with fever, cough, rhinorrhea, hepatosplenomegaly, pancytopenia and coagulopathy, and died of respiratory failure. Autopsy revealed disseminated histoplasmosis involving multiple organs including lungs, intestines, liver, spleen, bone marrow, lymph nodes, kidneys, and meninges. The diagnosis was established based on histomorphology and confirmed by blood culture. Disseminated histoplasmosis has been recognized as a serious opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). However, cases reported in the literature have been predominantly in adult patients. Here we report an infant with AIDS who presented with fever, cough, rhinorrhea, hepatosplenomegaly, pancytopenia and coagulopathy, and died of respiratory failure. Autopsy revealed disseminated histoplasmosis involving multiple organs including lungs, intestines, liver, spleen, bone marrow, lymph nodes, kidneys, and meninges. The diagnosis was established bfased on histomorphology and confirmed by blood culture. Disseminated histoplasmoids has been recognized as a serious opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). However, cases reported in the literature have been predominantly in adult patients. Here we report an infant with AIDS who presented with fever, cough, rhinorrhea, hepatosplenomegaly, pancytopenia and coagulopathy, and died of respiratory failure. Autopsy revealed disseminated histoplasmosis involving multiple organs including lungs, intestines, liver, spleen, bone marrow, lymph nodes, kidneys, and meninges. The diagnosis was established based on histomorphology and confirmed by blood culture. |
| Author | Wollmann, R.L. Wang, H. Hart, J. Johnson, D. Abrahams, C. |
| Author_xml | – sequence: 1 givenname: H. surname: Wang fullname: Wang, H. organization: Department of Pathology, The University of Chicago Hospitals, 5841 South Maryland Avenue, Chicago, IL 60637, U.S.A – sequence: 2 givenname: C. surname: Abrahams fullname: Abrahams, C. organization: Department of Pathology, The University of Chicago Hospitals, 5841 South Maryland Avenue, Chicago, IL 60637, U.S.A – sequence: 3 givenname: J. surname: Hart fullname: Hart, J. organization: Department of Pathology, The University of Chicago Hospitals, 5841 South Maryland Avenue, Chicago, IL 60637, U.S.A – sequence: 4 givenname: D. surname: Johnson fullname: Johnson, D. organization: Department Pediatrics, The University of Chicago Hospitals, 5841 South Maryland Avenue, Chicago, IL 60637, U.S.A – sequence: 5 givenname: R.L. surname: Wollmann fullname: Wollmann, R.L. organization: Department of Pathology, The University of Chicago Hospitals, 5841 South Maryland Avenue, Chicago, IL 60637, U.S.A |
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| Cites_doi | 10.1097/00007611-199506000-00011 10.7326/0003-4819-96-2-159 10.1093/clinids/21.Supplement_1.S108 10.1016/S0889-8561(22)00847-5 10.1016/S0891-5520(20)30231-2 10.1097/00007611-199212000-00004 10.1097/00006454-199202000-00015 10.1126/science.7652551 10.1016/S0891-5520(20)30601-2 10.1097/00005792-198001000-00001 10.1097/00006454-199409000-00010 10.1080/00325481.1996.11946145 10.1016/S0031-3955(16)38045-2 10.1097/00005792-199011000-00004 10.1097/00005792-198309000-00001 10.1097/00006454-198811000-00012 10.1093/clinids/14.Supplement_1.S60 10.1080/107710497174534 10.1097/00007611-199404000-00010 10.1016/S0733-8627(20)30369-2 10.1097/00007435-198311000-00010 |
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| Keywords | Human Immunopathology Opportunistic infection Histoplasmosis Mycosis Infant AIDS Immune deficiency Infection Case study Viral disease Complication Disseminated |
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| References | Cohen (bib22) 1995; 269 Leggiadro, Barrett, Hughes (bib16) 1988; 7 Drut, Anderson, Alba Greco (bib12) 1997; 17 Quinn (bib17) 1995; 13 Goodwin, Shapiro, Thurman, Thurman, Des Prez (bib4) 1980; 59 Neubauer, Bodensteiner (bib20) 1992; 85 Gonzales Saldaña, Gutiérrez Ortiz, Coria Lorenzo, León-Bojorge, Ridaura-Sanz (bib11) 1995; 15 Munis, Habte-Gabr (bib7) 1995; 88 Centers for Disease Control and Prevention (bib18) 1996; 45 Wheat (bib2) 1988; 2 Jones, Cohen, Batts, Silva (bib5) 1983; 10 Wheat (bib8) 1994; 8 Kirchner (bib10) 1996; 99 Fojtasek, Kleiman, Connolly-Stringfield, Blair, Wheat (bib23) 1994; 13 Sathapatayavongs, Batteiger, Wheat, Slama, Wass (bib6) 1983; 62 Wheat, Slama, Norton (bib3) 1982; 96 Wheat, Connolly-Stringfield, Baker (bib19) 1990; 69 Byers, Feldman, Edwards (bib13) 1992; 11 Sarosi, Johnson (bib21) 1992; 14 Joshi (bib14) 1991; 38 Edwards, Acquavia, Livesay, Palmer (bib1) 1969; 99 Hajjeh (bib9) 1995; 21 Butler, Heller, Wright (bib15) 1994; 87 Quinn (10.1016/S0163-4453(98)92293-9_bib17) 1995; 13 Neubauer (10.1016/S0163-4453(98)92293-9_bib20) 1992; 85 Wheat (10.1016/S0163-4453(98)92293-9_bib19) 1990; 69 Cohen (10.1016/S0163-4453(98)92293-9_bib22) 1995; 269 Wheat (10.1016/S0163-4453(98)92293-9_bib2) 1988; 2 Drut (10.1016/S0163-4453(98)92293-9_bib12) 1997; 17 Centers for Disease Control and Prevention (10.1016/S0163-4453(98)92293-9_bib18) 1996; 45 Butler (10.1016/S0163-4453(98)92293-9_bib15) 1994; 87 Sathapatayavongs (10.1016/S0163-4453(98)92293-9_bib6) 1983; 62 Joshi (10.1016/S0163-4453(98)92293-9_bib14) 1991; 38 Fojtasek (10.1016/S0163-4453(98)92293-9_bib23) 1994; 13 Wheat (10.1016/S0163-4453(98)92293-9_bib8) 1994; 8 Kirchner (10.1016/S0163-4453(98)92293-9_bib10) 1996; 99 Hajjeh (10.1016/S0163-4453(98)92293-9_bib9) 1995; 21 Leggiadro (10.1016/S0163-4453(98)92293-9_bib16) 1988; 7 Edwards (10.1016/S0163-4453(98)92293-9_bib1) 1969; 99 Sarosi (10.1016/S0163-4453(98)92293-9_bib21) 1992; 14 Gonzales Saldaña (10.1016/S0163-4453(98)92293-9_bib11) 1995; 15 Wheat (10.1016/S0163-4453(98)92293-9_bib3) 1982; 96 Byers (10.1016/S0163-4453(98)92293-9_bib13) 1992; 11 Goodwin (10.1016/S0163-4453(98)92293-9_bib4) 1980; 59 Jones (10.1016/S0163-4453(98)92293-9_bib5) 1983; 10 Munis (10.1016/S0163-4453(98)92293-9_bib7) 1995; 88 |
| References_xml | – volume: 7 start-page: 799 year: 1988 end-page: 805 ident: bib16 article-title: Disseminated histoplasmosis of infancy publication-title: Pediatr Infect Dis contributor: fullname: Hughes – volume: 2 start-page: 841 year: 1988 end-page: 859 ident: bib2 article-title: Histoplasmosis publication-title: Infect Dis Clin North Am contributor: fullname: Wheat – volume: 17 start-page: 569 year: 1997 end-page: 576 ident: bib12 article-title: Opportunistic infections in pediatric HIV infection: a study of 74 autopsy cases from Latin America publication-title: Pediatr Pathol Lab Med contributor: fullname: Alba Greco – volume: 15 start-page: 429 year: 1995 end-page: 439 ident: bib11 article-title: AIDS in developing countries: the experience at the National Institute of Pediatrics in Mexico City publication-title: Immunol Allergy Clin North Am contributor: fullname: Ridaura-Sanz – volume: 85 start-page: 1166 year: 1992 end-page: 1170 ident: bib20 article-title: Disseminated 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illness in an infant publication-title: Pediatr Infect Dis J doi: 10.1097/00006454-199202000-00015 contributor: fullname: Byers – volume: 269 start-page: 1044 year: 1995 ident: 10.1016/S0163-4453(98)92293-9_bib22 article-title: Researcher air alternative views on how HIV kills cells publication-title: Science doi: 10.1126/science.7652551 contributor: fullname: Cohen – volume: 8 start-page: 467 year: 1994 ident: 10.1016/S0163-4453(98)92293-9_bib8 article-title: Histoplasmosis and coccidioidomycosis in individuals with AIDS: a clinical review publication-title: Infect Dis Clin North Am doi: 10.1016/S0891-5520(20)30601-2 contributor: fullname: Wheat – volume: 59 start-page: 1 year: 1980 ident: 10.1016/S0163-4453(98)92293-9_bib4 article-title: Disseminated histoplasmosis: clinical and pathologic correlation publication-title: Medicine doi: 10.1097/00005792-198001000-00001 contributor: fullname: Goodwin – volume: 13 start-page: 801 year: 1994 ident: 10.1016/S0163-4453(98)92293-9_bib23 article-title: The Histoplasma capsulatum antigen assay in disseminated histoplasmosis in children publication-title: Pediatr Infect Dis J doi: 10.1097/00006454-199409000-00010 contributor: fullname: Fojtasek – volume: 99 start-page: 209 year: 1996 ident: 10.1016/S0163-4453(98)92293-9_bib10 article-title: Opportunistic fungal infections in patients with HIV disease: combating cryptococcosis and histoplasmosis publication-title: Postgraduate Med doi: 10.1080/00325481.1996.11946145 contributor: fullname: Kirchner – volume: 38 start-page: 97 year: 1991 ident: 10.1016/S0163-4453(98)92293-9_bib14 article-title: Pathology of childhood AIDS publication-title: Pediatr Clin North Am doi: 10.1016/S0031-3955(16)38045-2 contributor: fullname: Joshi – volume: 69 start-page: 361 year: 1990 ident: 10.1016/S0163-4453(98)92293-9_bib19 article-title: Disseminated histoplasmosis in the acquired immune deficiency syndrome: clinical findings, diagnosis and treatment, and review of the literature publication-title: Medicine doi: 10.1097/00005792-199011000-00004 contributor: fullname: Wheat – volume: 45 start-page: 1005 year: 1996 ident: 10.1016/S0163-4453(98)92293-9_bib18 article-title: AIDS among children — United States, 1996 publication-title: MMWR contributor: fullname: Centers for Disease Control and Prevention – volume: 62 start-page: 263 year: 1983 ident: 10.1016/S0163-4453(98)92293-9_bib6 article-title: Clinical and laboratory features of disseminated histoplasmosis during two large urban outbreaks publication-title: Medicine doi: 10.1097/00005792-198309000-00001 contributor: fullname: Sathapatayavongs – volume: 7 start-page: 799 year: 1988 ident: 10.1016/S0163-4453(98)92293-9_bib16 article-title: Disseminated histoplasmosis of infancy publication-title: Pediatr Infect Dis doi: 10.1097/00006454-198811000-00012 contributor: fullname: Leggiadro – volume: 14 start-page: S60 issue: Suppl. 1 year: 1992 ident: 10.1016/S0163-4453(98)92293-9_bib21 article-title: Disseminated histoplasmosis in patients infected with human immunodeficiency virus publication-title: Clin Infect Dis doi: 10.1093/clinids/14.Supplement_1.S60 contributor: fullname: Sarosi – volume: 99 start-page: 1 year: 1969 ident: 10.1016/S0163-4453(98)92293-9_bib1 article-title: An atlas of sensitivity to tuberculin, PPD-D and histoplasmin in the United States publication-title: Am Rev Respir Dir contributor: fullname: Edwards – volume: 17 start-page: 569 year: 1997 ident: 10.1016/S0163-4453(98)92293-9_bib12 article-title: Opportunistic infections in pediatric HIV infection: a study of 74 autopsy cases from Latin America publication-title: Pediatr Pathol Lab Med doi: 10.1080/107710497174534 contributor: fullname: Drut – volume: 87 start-page: 476 year: 1994 ident: 10.1016/S0163-4453(98)92293-9_bib15 article-title: Histoplasmosis during childhood publication-title: Southern Med J doi: 10.1097/00007611-199404000-00010 contributor: fullname: Butler – volume: 13 start-page: 1 year: 1995 ident: 10.1016/S0163-4453(98)92293-9_bib17 article-title: The epidemiology of the acquired immunodeficiency syndrome in the 1990s publication-title: Emer Med Clin North Am doi: 10.1016/S0733-8627(20)30369-2 contributor: fullname: Quinn – volume: 10 start-page: 202 year: 1983 ident: 10.1016/S0163-4453(98)92293-9_bib5 article-title: Disseminated histoplasmosis, invasive pulmonary aspergillosis, and other opportunistic infections in a homosexual patient with acquired immune deficiency syndrome publication-title: Sex Transm Dis doi: 10.1097/00007435-198311000-00010 contributor: fullname: Jones |
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| Snippet | Disseminated histoplasmoids has been recognized as a serious opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). However, cases... Disseminated histoplasmosis has been recognized as a serious opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS). However, cases... |
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| SubjectTerms | Acquired Immunodeficiency Syndrome - complications AIDS/HIV Biological and medical sciences Fatal Outcome Histoplasma - isolation & purification Histoplasmosis - complications Histoplasmosis - pathology Human immunodeficiency virus Human viral diseases Humans Infant Infectious diseases Male Medical sciences Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| Title | Disseminated histoplasmosis in an infant with acquired immunodeficiency syndrome |
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