Skip Navigation LinksHome > December 1989 - Volume 298 - Issue 6 > A New Presentation of Disseminated Histoplasmosis in a Homos...
American Journal of the Medical Sciences:
Case Report: PDF Only

A New Presentation of Disseminated Histoplasmosis in a Homosexual Man with AIDS.

IBANEZ, HECTOR E. MD; IBANEZ, MARIA A. MD

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Abstract

The clinical and histopathological features and the therapeutic response of a pustular eruption occurring in a homosexual man with Acquired Immune Deficiency Syndrome (AIDS) is reported. The rare cutaneous presentation consisted of mostly circumscribed, tender, tense pustules, associated with erythema, confined to the face and neck. Biopsy of these lesions revealed intracellular round to oval bodies surrounded by a clear space, consistent with Histoplasma capsulatum. Prompt resolution was observed after initiation of amphotericin B therapy. Clinicians are alerted to the occurrence of exotic presentations of this entity and emphasis is given to the need for skin biopsy and culture to avoid delay in diagnosis and failure to initiate appropriate therapy.

(C) Copyright 1989 Southern Society for Clinical Investigation

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