[A case of peritoneal histoplasmosis]

Area of Science:

• Medical Mycology
• Infectious Diseases
• Gastroenterology

Background:

• Peritoneal histoplasmosis is an infrequent clinical diagnosis.
• Histoplasmosis typically affects the lungs but can disseminate.

Observation:

• A 24-year-old patient presented with significant abdominal enlargement caused by ascites.
• No other overt clinical manifestations were noted initially.

Findings:

• Hepatic and peritoneal granulomas were identified, confirming disseminated histoplasmosis.
• The patient's ascites was attributed to peritoneal involvement.

Implications:

• Early diagnosis and prompt initiation of Ketoconazole are crucial for improving patient prognosis.
• This case highlights the diagnostic challenges and varied presentations of disseminated histoplasmosis.