[Severe colitis due to Histoplasma capsulatum in an AIDS patient].
Identifieur interne : 000D44 ( Main/Exploration ); précédent : 000D43; suivant : 000D45[Severe colitis due to Histoplasma capsulatum in an AIDS patient].
Auteurs : T. Buhk [Allemagne] ; H-J Stellbrink ; H. Albrecht ; I. SobottkaSource :
- Zeitschrift fur Gastroenterologie [ 0044-2771 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte, Antifongiques (usage thérapeutique), Colite (microbiologie), Colite (traitement médicamenteux), Femelle, Histoplasma (isolement et purification), Histoplasmose (microbiologie), Histoplasmose (traitement médicamenteux), Humains, Infections opportunistes liées au SIDA (microbiologie), Infections opportunistes liées au SIDA (traitement médicamenteux), Maladies rares (), Maladies rares (étiologie), Résultat thérapeutique, Syndrome d'immunodéficience acquise (microbiologie), Syndrome d'immunodéficience acquise (traitement médicamenteux).
- MESH :
- isolement et purification : Histoplasma.
- microbiologie : Colite, Histoplasmose, Infections opportunistes liées au SIDA, Syndrome d'immunodéficience acquise.
- traitement médicamenteux : Colite, Histoplasmose, Infections opportunistes liées au SIDA, Syndrome d'immunodéficience acquise.
- usage thérapeutique : Antifongiques.
- étiologie : Maladies rares.
- Adulte, Femelle, Humains, Maladies rares, Résultat thérapeutique.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (drug therapy), AIDS-Related Opportunistic Infections (microbiology), Acquired Immunodeficiency Syndrome (drug therapy), Acquired Immunodeficiency Syndrome (microbiology), Adult, Antifungal Agents (therapeutic use), Colitis (drug therapy), Colitis (microbiology), Female, Histoplasma (isolation & purification), Histoplasmosis (drug therapy), Histoplasmosis (microbiology), Humans, Rare Diseases (etiology), Rare Diseases (prevention & control), Treatment Outcome.
- MESH :
- chemical , therapeutic use : Antifungal Agents.
- drug therapy : AIDS-Related Opportunistic Infections, Acquired Immunodeficiency Syndrome, Colitis, Histoplasmosis.
- etiology : Rare Diseases.
- isolation & purification : Histoplasma.
- microbiology : AIDS-Related Opportunistic Infections, Acquired Immunodeficiency Syndrome, Colitis, Histoplasmosis.
- prevention & control : Rare Diseases.
- Adult, Female, Humans, Treatment Outcome.
Abstract
The case of a thirty-two-year-old female HIV-positive patient from Ghana admitted with a septic illness, diarrhoea, anaemia, and severe weight loss is presented. During an extensive diagnostic work-up Mycobacterium tuberculosis infection and typhoid fever were detected. Specific treatment led to marked improvement in the patient's condition. However, five weeks later high fever and diarrhoea recurred. Histological examination of biopsies from coloscopy and blood cultures revealed Histoplasma capsulatum. The patient recovered completely following antifungal therapy with amphotericin B and itraconazole. The case presented emphasises the need for medical staff dealing with immunocompromised patients from endemic areas to be aware of symptoms, diagnostic features, and therapeutic measures of this rare fungal infection.
DOI: 10.1055/s-2006-926645
PubMed: 16823702
Affiliations:
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Le document en format XML
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During an extensive diagnostic work-up Mycobacterium tuberculosis infection and typhoid fever were detected. Specific treatment led to marked improvement in the patient's condition. However, five weeks later high fever and diarrhoea recurred. Histological examination of biopsies from coloscopy and blood cultures revealed Histoplasma capsulatum. The patient recovered completely following antifungal therapy with amphotericin B and itraconazole. The case presented emphasises the need for medical staff dealing with immunocompromised patients from endemic areas to be aware of symptoms, diagnostic features, and therapeutic measures of this rare fungal infection.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Hambourg</li></region><settlement><li>Hambourg</li></settlement></list><tree><noCountry><name sortKey="Albrecht, H" sort="Albrecht, H" uniqKey="Albrecht H" first="H" last="Albrecht">H. 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