Histoplasmosis mimicking vasculitis of the central nervous system.
We describe a case of disseminated histoplasmosis that was erroneously diagnosed as central nervous system vasculitis and treated with immunosuppressive therapy. Our case emphasizes the importance of excluding infections before initiating treatment for presumed central nervous system vasculitis. Clinical clues to underlying Histoplasma infections are also discussed.
Division of Rheumatology, Johns Hopkins University, Baltimore, MD 21205, USA.
J H
JH
Stone
M G
MG
Pomper
D B
DB
Hellmann
D001927:Brain Diseases / Q000175:diagnosis* / Q000382:microbiology; D002490:Central Nervous System / Q000098:blood supply; D006658:Histoplasma / Q000302:isolation & purification; D006660:Histoplasmosis / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014657:Vasculitis / Q000175:diagnosis* / Q000382:microbiology