[Acute pulmonary histoplasmosis in a Spanish traveller to Nicaragua: an imported disease case].
Pulmonary histoplasmosis is a rare disease in Spain. Moreover, it is difficult to diagnose due to unspecific clinical and radiological symptoms. The isolation of the fungus is essential for a proper diagnosis. Nevertheless, it is very difficult to identify the fungus itself in respiratory stains and we usually need invasive techniques. For all these reasons and taking into account the increase in journeys and immigration, we believe that it is probably underdiagnosed in our country. We report a case of acute pulmonary histoplasmosis in a Spanish traveller and emphasize the importance of the anamnesis and the value of the microbiologist's experience to obtain the diagnosis.
Flor
Antonia
A
Servei de Medicina Interna, Centre Hospitalari i Cardiològic de Manresa, Apartat de Correus, 121, 08240 - Manresa, Barcelona, España. mdestivill@hotmail.com
Estivills
Dolors
D
Pérez
Rafael
R
Ordeig
Josep
J
Ramos
Fernando
F
Soler Bel
Josep
J
Puig
Xavier
X
D000208:Acute Disease; D000328:Adult; D000818:Animals; D002685:Chiroptera / Q000382:microbiology; D005188:False Negative Reactions; D005243:Feces / Q000382:microbiology; D006658:Histoplasma / Q000302:isolation & purification / Q000502:physiology; D006659:Histoplasmin; D006660:Histoplasmosis / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007121:Immunocompetence; D005779:Immunodiffusion; D019570:Inhalation Exposure; D007428:Intradermal Tests; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology; D008297:Male; D009527:Nicaragua; D013030:Spain / Q000208:ethnology; D013172:Spores, Fungal; D013183:Sputum / Q000382:microbiology; D013194:Staining and Labeling; D014195:Travel
D006659:Histoplasmin