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M9490507.TXT
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1994-09-24
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Document 0507
DOCN M9490507
TI [Digestive histoplasmosis in a patient with AIDS from Guadeloupe]
DT 9411
AU Boulard F; Cnudde F; Teron-Aboud B; Kermanac'h P; Nicolas M; Juminer B;
Service de Medecine B, Centre hospitalier general; intercommunal,
Basse-Terre, Saint-Claude, Guadeloupe.
SO Ann Gastroenterol Hepatol (Paris). 1994 May-Jun;30(3):97-100. Unique
Identifier : AIDSLINE MED/94346743
AB The authors report the case of a 45-year-old HIV and HTLV1 antibody
positive male patient form French West-Indies who was infected by
disseminated histoplasmosis presenting as acute diarrhea.
Esophagogastroduodenoscopy revealed gastric mass and colonoscopy patchy
erythematous mucosa. The diagnosis was made by histology of bone marrow
specimens, upper gastrointestinal tract and colon biopsies, and late
skin lesions. Initial therapy with amphotericin B and itraconazole was
successful, but maintenance therapy with itraconazole alone did not
prevent relapse and a fatal outcome. Disseminated histoplasmosis in AIDS
patients may be present as gastrointestinal manifestations and should be
kept in mind in non endemic areas such as the French West Indies.
DE Animal AIDS-Related Opportunistic Infections/*PATHOLOGY Case Report
Cryptosporidiosis/DIAGNOSIS Dermatomycoses/PATHOLOGY Diagnosis,
Differential Diarrhea/MICROBIOLOGY Endoscopy, Gastrointestinal
English Abstract Histoplasmosis/*PATHOLOGY Human *HIV-1 HTLV-I
Intestinal Diseases/*MICROBIOLOGY/*PATHOLOGY Intestinal Diseases,
Parasitic/DIAGNOSIS Male Middle Age Stomach
Diseases/*MICROBIOLOGY/*PATHOLOGY/PARASITOLOGY West Indies JOURNAL
ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).