[Cecal perforation in a kidney transplant patient: disseminated histoplasmosis]

N Kourda1, M Mlika, Y S H Zidi

  • 1Département d'Anatomie Pathologique, Hôpital Charles Nicolle, Tunis, Tunisie.

Insights

Disseminated histoplasmosis, a fungal infection, can affect kidney transplant patients. This case highlights a fatal outcome due to delayed diagnosis of cutaneous and digestive involvement.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Transplantation Immunology

Background:

  • Disseminated histoplasmosis is a severe fungal infection caused by Histoplasma capsulatum, primarily affecting immunocompromised individuals.
  • The infection presents in large- and small-celled variants and can manifest with diverse clinical symptoms.

Observation:

  • A case report of a Senegalese man who developed disseminated histoplasmosis with cutaneous and digestive involvement four years post-kidney transplantation.
  • The patient presented with severe sepsis resulting from colonic perforation.

Findings:

  • The patient's disseminated histoplasmosis involved both skin and gastrointestinal tract.
  • Delayed diagnosis and the advanced stage of the infection contributed to a fatal outcome.

Implications:

  • This case underscores the importance of considering disseminated histoplasmosis in immunocompromised patients, particularly transplant recipients, presenting with unusual symptoms.
  • Early diagnosis and prompt treatment are crucial for improving outcomes in disseminated histoplasmosis.
  • Highlights the need for heightened awareness of fungal infections in organ transplant recipients, especially in endemic regions.

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