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Case Reports
. 2001 Jan;96(1):221-2.
doi: 10.1111/j.1572-0241.2001.03479.x.

Progressive gastrointestinal histoplasmosis leading to colonic obstruction two years after initial presentation

H Hertan  1 , S Nair, P Arguello
Affiliations
Case Reports

Progressive gastrointestinal histoplasmosis leading to colonic obstruction two years after initial presentation

H Hertan et al. Am J Gastroenterol. 2001 Jan.

Abstract

A 37-yr-old man from Ecuador presented with abdominal pain, diarrhea, and weight loss. Endoscopy revealed duodenal histoplasmosis. The patient improved with antifungal therapy but was readmitted 2 yr later with diarrhea and fever. Colonoscopy revealed histoplasmosis lesions, including a constricting transverse colon lesion. The patient refused surgery and died of colonic perforation. We discuss the diagnosis and management of gastrointestinal histoplasmosis in this report.

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