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Progressive gastrointestinal histoplasmosis leading to colonic obstruction two years after initial presentation
1Division of Gastroenterology, Our Lady of Mercy Medical Center, New York Medical College, Bronx 10466, USA.
The American Journal of Gastroenterology
|February 24, 2001
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.