title: [Gastric histoplasmosis simulating a malignant gastric ulcer].
abstract: 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.
authors.affiliation: Hospital Nacional Hipólito Unanue.
authors.forename: Alonso Ricardo
authors.initials: AR
authors.lastname: Soto Tarazona
authors.forename: José Luis
authors.initials: JL
authors.lastname: Meza Flores
authors.forename: Doris
authors.initials: D
authors.lastname: Garrido Rivadeneyra
authors.forename: Jaime
authors.initials: J
authors.lastname: Cok Garcia
mesh_terms: 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*