title: [Acute pulmonary histoplasmosis in a Spanish traveller to Nicaragua: an imported disease case].
abstract: 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.
authors.affiliation: Servei de Medicina Interna, Centre Hospitalari i Cardiològic de Manresa, Apartat de Correus, 121, 08240 - Manresa, Barcelona, España. mdestivill@hotmail.com
authors.forename: Antonia
authors.initials: A
authors.lastname: Flor
authors.forename: Dolors
authors.initials: D
authors.lastname: Estivills
authors.forename: Rafael
authors.initials: R
authors.lastname: Pérez
authors.forename: Josep
authors.initials: J
authors.lastname: Ordeig
authors.forename: Fernando
authors.initials: F
authors.lastname: Ramos
authors.forename: Josep
authors.initials: J
authors.lastname: Soler Bel
authors.forename: Xavier
authors.initials: X
authors.lastname: Puig
mesh_terms: 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
chemical_list: D006659:Histoplasmin