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Histoplasma phimosis: an uncommon presentation of a not uncommon pathogen
Shashi M Ariyanayagam-Baksh1, Fabien K Baksh, Richard W Cartun
1Department of Pathology, Lancaster General Hospital, Lancaster, PA 17604-3555, USA. smariyan@lancastergeneral.org
Abstract:
Infection from Histoplasma capsulatum is usually subclinical, but it also can be disseminated in patients with a compromised immune status. Involvement of the external genitalia is a rare finding, occurring by direct contact or hematogenous spread. We present a case of histoplasma posthitis in a 71-year-old man, manifesting with the extremely unusual presentation of phimosis. The diagnosis was confirmed using an immunohistochemical stain.
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