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Disseminated Histoplasmosis presenting as oropharyngeal mass lesion
Tauhidul Alam Choudhury1, Ronica Baruah2, Naushad Shah2
1Department of Nephrology, Dispur Hospitals, Guwahati, India.
Abstract:
A 62 year old man from Silchar in North East India presented with complaints of painful swallowing, hoarseness, fever, anorexia and weight loss. Oropharyngeal examination revealed reddish ulcero-nodular lesion involving left tonsillar area and base of tongue which was clinically suspicious of malignancy. Radiological examination revealed involvement of bilateral adrenals by a mass. The biopsy of the oropharyngeal lesion showed many fungal spores morphologically favoring Histoplasmosis. Treatment with Amphotericin B followed by Itraconazole resulted recovery of lesions.
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