title: [Acute pulmonary histoplasmosis as an imported disease].
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.
authors.affiliation: Afd. Algemene Inwendige Geneeskunde, Academisch Ziekenhuis, Nijmegen.
authors.forename: R
authors.initials: R
authors.lastname: van Crevel
authors.forename: A J
authors.initials: AJ
authors.lastname: van der Ven
authors.forename: J F
authors.initials: JF
authors.lastname: Meis
authors.forename: B J
authors.initials: BJ
authors.lastname: Kullberg
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D006166:Guatemala; D006658:Histoplasma / Q000302:isolation & purification*; D006660:Histoplasmosis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D014195:Travel
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole