Cervical abscess and mediastinal adenopathy: an unusual presentation of childhood histoplasmosis.
Histoplasmosis is the most common endemic respiratory mycosis in the United States. We report the clinical and imaging findings in a case of a child with the rare presentation of a neck abscess and mediastinal lymphadenopathy secondary to acute, non-disseminated histoplasmosis. Imaging findings often mimic other granulomatous infections such as tuberculosis or neoplastic processes such as lymphoma. Histoplasmosis should be considered in the differential diagnosis of a child who presents with enlarged mediastinal and cervical lymphadenopathy.
McGraw
Elizabeth P
EP
Division of Pediatric Radiology, Department of Radiology, Box 3808, McGovern-Davison Children's Health Center, Duke University Medical Center, Durham, NC 27710, USA. mcgra015@mc.duke.edu
Kane
Jason M
JM
Kleiman
Martin B
MB
Scherer
L R
LR
D000038:Abscess / Q000000981:diagnostic imaging*; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006660:Histoplasmosis / Q000000981:diagnostic imaging*; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging*; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging*; D009333:Neck / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed