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Case Reports
. 2022 Feb 10;35(3):350-351.
doi: 10.1080/08998280.2022.2035163. eCollection 2022.

Histoplasmosis presenting as colitis and blood dyscrasias in a patient with systemic lupus erythematosus

Dua Noor Butt  1 , Muhamad Sheharyar Warraich  2 , Akshay Machanahalli Balakrishna  1 , Mahmoud Ismayl  1 , Sumbul Liaqat  3 , Kanza Noor Butt  4 , Joseph Thirumalareddy  5 , Manasa Velagapudi  6
Affiliations
Case Reports

Histoplasmosis presenting as colitis and blood dyscrasias in a patient with systemic lupus erythematosus

Dua Noor Butt et al. Proc (Bayl Univ Med Cent). .

Abstract

A 28-year-old woman with a history of systemic lupus erythematosus on hydroxychloroquine and steroid therapy presented with fever, dysentery, and thrombocytopenia. Marrow aspirate revealed yeast forms of histoplasmosis. She was treated with liposomal amphotericin B followed by itraconazole with resolution of symptoms and marrow recovery.

Keywords: Anemia; colitis; histoplasmosis; thrombocytopenia.

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Figures

Figure 1.
Figure 1.
Budding yeast forms of Histoplasma on bone marrow biopsy.
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