[Gastric histoplasmosis simulating a malignant gastric ulcer].
The case evaluated hereunder is that of a young patient, from a Histoplasmosis-endemic area, reporting chronic abdominal pain. An upper gastric endoscopy evidenced the presence of gastric compromise, characterized by evident infiltrating ulcerous damage simulating a carcinoma. The final diagnosis was chronic disseminated histoplasmosis with gastric compromise. The patient presented as an underlying condition, a chronic alcoholic hepatopathy. Histoplasmosis must be included in the differential diagnosis of ulcerated and/or infiltrated lesions of the gastrointestinal tract in patients from endemic areas or susceptible to immunosuppression conditions.
Soto Tarazona
Alonso Ricardo
AR
Hospital Nacional Hipólito Unanue.
Meza Flores
José Luis
JL
Garrido Rivadeneyra
Doris
D
Cok Garcia
Jaime
J
D000328:Adult; D003937:Diagnosis, Differential; D006660:Histoplasmosis / Q000473:pathology*; D006801:Humans; D008297:Male; D013270:Stomach / Q000382:microbiology / Q000473:pathology; D013272:Stomach Diseases / Q000382:microbiology / Q000473:pathology*; D013276:Stomach Ulcer / Q000473:pathology*