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[Acute pulmonary histoplasmosis as an imported disease]
R van Crevel1, A J van der Ven, J F Meis
1Afd. Algemene Inwendige Geneeskunde, Academisch Ziekenhuis, Nijmegen.
Nederlands Tijdschrift Voor Geneeskunde
|June 21, 1997
Abstract:
A previously healthy 44-year-old male traveller presented with a dry cough, fever and an abnormal chest X-ray after a stay in Guatemala, where he had explored bat caves. Acute pulmonary histoplasmosis was diagnosed after culture of Histoplasma capsulatum from bronchial washings. A favourable response was seen upon treatment with itraconazole for six weeks. Acute pulmonary histoplasmosis should be considered in a healthy traveller returning with fever from the USA or subtropical areas.