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Headaches in a Horseback Rider
Nicole Hunter1, Christian Kostowniak2, Abdallah Hamayel1
1Department of Internal Medicine, Rochester Regional Health Unity Hospital, Rochester, New York, USA.
Abstract:
An immunocompetent woman presented with headaches. She previouslyworked at a farm in upstate New York. Brain MRI noted pituitary enlargement and neurosurgerypursued trans-sphenoidal pituitary biopsy. Histopathology revealed ill-defined granulomaswith clusters of yeast, consistent with Histoplasma.
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