Abstract
A 37-yr-old man from Ecuador presented with abdominal pain, diarrhea, and weight loss. Endoscopy revealed duodenal histoplasmosis. The patient improved with antifungal therapy but was readmitted 2 yr later with diarrhea and fever. Colonoscopy revealed histoplasmosis lesions, including a constricting transverse colon lesion. The patient refused surgery and died of colonic perforation. We discuss the diagnosis and management of gastrointestinal histoplasmosis in this report.
MeSH terms
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Adult
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Colonic Diseases / diagnosis*
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Colonic Diseases / etiology
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Colonic Diseases / surgery
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Colonoscopy
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Disease Progression
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Fatal Outcome
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Gastrointestinal Diseases / complications
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Gastrointestinal Diseases / diagnosis
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Gastrointestinal Diseases / surgery
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Histoplasmosis / complications
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Histoplasmosis / diagnosis*
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Histoplasmosis / surgery
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Humans
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Intestinal Obstruction / diagnosis*
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Intestinal Obstruction / etiology
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Intestinal Obstruction / surgery
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Intestinal Perforation / diagnosis*
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Intestinal Perforation / etiology
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Intestinal Perforation / surgery
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Male
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Treatment Refusal