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[Pseudotumoral presentation of American pulmonary histioplasmosis]
J Margery1, A Bonnichon, D Jeanbourquin
1Service des Maladies Respiratoires, Hôpital d'Instruction des Armées Percy, 101, avenue Henri-Barbusse, BP 406, 92140 Clamart. j.margery@wanadoo.fr
Abstract:
In France, American pulmonary histoplasmosis is an imported deep mycosis, caused by inhalation of Histoplasma capsulatum. Clinical and radiological features of this exotic disease are multiple, simulating tuberculosis or cancer. We report two cases of American histoplasmosis with pseudo-tumoral form, in immunocompetent subjects working in Venezuela, with a multinodular pulmonary presentation.
Insights
American pulmonary histoplasmosis, a deep fungal infection, can mimic tuberculosis or cancer. This report details two immunocompetent individuals with a multinodular lung presentation of this imported mycosis.
Area of Science:
- Pulmonology
- Infectious Diseases
- Mycology
Background:
- American pulmonary histoplasmosis is an imported deep mycosis caused by Histoplasma capsulatum inhalation.
- It presents with diverse clinical and radiological features that can simulate other lung conditions.
Observation:
- Two immunocompetent individuals working in Venezuela presented with American histoplasmosis.
- Their cases exhibited a pseudo-tumoral form with a multinodular pulmonary presentation.
Findings:
- Histoplasma capsulatum infection can manifest as a pseudo-tumoral form.
- Multinodular presentation is a key radiological feature in these cases.
Implications:
- Highlights the importance of considering imported mycoses in differential diagnoses.
- Emphasizes the need for awareness of Histoplasma capsulatum in endemic and non-endemic settings.
- Suggests further investigation into the pseudo-tumoral presentation of pulmonary histoplasmosis.
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