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Published on: September 12, 2019
Gastrointestinal histoplasmosis in a hepatitis C-infected individual
Paul M Rodriguez-Waitkus1, Vafa Bayat, Elias George
1Department of Pathology, Ben Taub General Hospital, Houston, TX, USA. pmrodrig@bcm.edu
Abstract:
Gastrointestinal histoplasmosis is a rare manifestation of this fungal infection, typically identified in immunocompromised patients, such as those with HIV/AIDS. Here, we report a case of disseminated histoplasmosis with gastrointestinal involvement in a Hepatitis C-infected patient. The fungal agent was confirmed to be Histoplasma capsulatum by a DNA probe assay performed on a bone marrow sample. We propose that this fungal disease should be kept on the differential of patients infected with the Hepatitis C virus, as it has been reported to have numerous damaging effects on the adaptive immune system.
Insights
Gastrointestinal histoplasmosis, a rare fungal infection, can affect Hepatitis C patients. This case highlights the need to consider Histoplasma capsulatum in diagnosing gastrointestinal issues in this population.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Gastroenterology
Background:
- Gastrointestinal histoplasmosis is an uncommon opportunistic infection, primarily seen in individuals with compromised immune systems, notably those with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS).
- Hepatitis C virus (HCV) infection is known to impact the adaptive immune system, potentially increasing susceptibility to opportunistic infections.
Observation:
- This report details a case of disseminated histoplasmosis with significant gastrointestinal tract involvement in a patient diagnosed with Hepatitis C virus infection.
- The presence of Histoplasma capsulatum was definitively identified using a DNA probe assay on a bone marrow biopsy sample.
Findings:
- The study confirms a rare instance of gastrointestinal histoplasmosis in a Hepatitis C-infected individual.
- Diagnostic confirmation was achieved through molecular identification of Histoplasma capsulatum in bone marrow.
Implications:
- Clinicians should consider gastrointestinal histoplasmosis in the differential diagnosis for patients with Hepatitis C virus infection presenting with gastrointestinal symptoms.
- Understanding the immune dysregulation caused by HCV may shed light on the increased risk of opportunistic fungal infections like histoplasmosis.
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