Cervical abscess and mediastinal adenopathy: an unusual presentation of childhood histoplasmosis
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Elizabeth P McGraw1, Jason M Kane, Martin B Kleiman
1Division of Pediatric Radiology, Department of Radiology, Box 3808, McGovern-Davison Children's Health Center, Duke University Medical Center, Durham, NC 27710, USA. mcgra015@mc.duke.edu
Abstract:
Histoplasmosis is the most common endemic respiratory mycosis in the United States. We report the clinical and imaging findings in a case of a child with the rare presentation of a neck abscess and mediastinal lymphadenopathy secondary to acute, non-disseminated histoplasmosis. Imaging findings often mimic other granulomatous infections such as tuberculosis or neoplastic processes such as lymphoma. Histoplasmosis should be considered in the differential diagnosis of a child who presents with enlarged mediastinal and cervical lymphadenopathy.
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