Oral histoplasmosis in HIV-infected patients. A report of two cases.
Histoplasmosis is a fungal infection caused by the organism Histoplasma capsulatum. Disseminated disease usually occurs in immunosuppressed patients or in patients with chronic illnesses. Although relatively uncommon, histoplasmosis has been reported in patients with AIDS, and oral lesions have been noted on multiple sites and in various clinical presentations. We present two HIV-positive cases with oral lesions as the initial signs of histoplasmosis. Both patients responded well to IV amphotericin B but later suffered recurrences despite being maintained on systemic antifungal therapy.
Chinn
H
H
Division of Oral Medicine, UCSF, USA.
Chernoff
D N
DN
Migliorati
C A
CA
Silverman
S
S
Green
T L
TL
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications*; D006660:Histoplasmosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D009059:Mouth Diseases / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology
D000666:Amphotericin B; D007654:Ketoconazole