[Acute pulmonary histoplasmosis as an imported disease].
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.
van Crevel
R
R
Afd. Algemene Inwendige Geneeskunde, Academisch Ziekenhuis, Nijmegen.
van der Ven
A J
AJ
Meis
J F
JF
Kullberg
B J
BJ
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
D000935:Antifungal Agents; D017964:Itraconazole