Ileal perforation secondary to histoplasmosis in AIDS.
Our patient presented with abdominal pain, weight loss, and fever with evidence of oral thrush and pelvic inflammatory disease on exam. Radiographs demonstrated a small bowel obstruction with free air. An exploratory laparotomy demonstrated 2 perforations of the distal ileum. Pathologic exam revealed features consistent with histoplasmosis. We discuss gastrointestinal involvement of histoplasmosis in AIDS and its treatment.
Flannery
M T
MT
Department of Internal Medicine, University of South Florida College of Medicine, Tampa, USA. mflann5555@aol.com
Chapman
V
V
Cruz-Gonzales
I
I
Rivera
M
M
Messina
J L
JL
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006660:Histoplasmosis / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000821:virology*; D007416:Intestinal Perforation / Q000209:etiology / Q000821:virology*