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Case Reports
. 2023 Mar 20;10(3):ofad145.
doi: 10.1093/ofid/ofad145. eCollection 2023 Mar.

Headaches in a Horseback Rider

Nicole Hunter  1 , Christian Kostowniak  2 , Abdallah Hamayel  1 , Aaron Bliss  1 , Hunter Lakin  2 , Josenia Tan  3 , Laurie Proia  1   4
Affiliations
Case Reports

Headaches in a Horseback Rider

Nicole Hunter et al. Open Forum Infect Dis. .

Abstract

An immunocompetent woman presented with headaches. She previouslyworked at a farm in upstate New York. Brain MRI noted pituitary enlargement and neurosurgerypursued trans-sphenoidal pituitary biopsy. Histopathology revealed ill-defined granulomaswith clusters of yeast, consistent with Histoplasma.

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Conflict of interest statement

Potential conflicts of interest. All authors: No reported conflicts.

Figures

Figure 1.
Figure 1.
Pituitary MRI revealed an enlarged pituitary measuring 1.4 × 0.7 × 1.1 cm on sagittal view, indicated by the white arrow. Abbreviations: AR, anterior; F, feet; H, head; PL, posterior.
Figure 2.
Figure 2.
Ill-defined granulomas and clusters of small extracellular (white arrows) and intracellular yeast forms seen on Gomori methenamine silver (A) and periodic acid-Schiff (B) stains.
See this image and copyright information in PMC

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