Histoplasmosis in two human immunodeficiency virus-positive immigrants to Italy: clinical features and management in the highly active antiretroviral therapy era.
We report two cases of histoplasmosis occurring in human immunodeficiency virus-positive patients who immigrated to Italy, and focus our attention on the clinical features and therapeutic aspects, with particular emphasis on secondary prophylaxis. The patients had comparable human immunodeficiency virus baseline parameters, but had a completely different compliance over therapeutic regimens. The two patients were followed in two different city hospitals of our region, Padua and Verona, and the diagnosis was made on the basis of instrumental, histologic, and microbiologic findings. One of them was treated with corticosteroids because of nephrotic syndrome.
Faggian
Federica
F
Clinical Division of Infectious Diseases, Major Civil Hospital, B.go Trento, Verona, Italy. ffaggian@hotmail.com
Lanzafame
Massimiliano
M
Lattuada
Emanuela
E
Brugnaro
PierLuigi
P
Carretta
Giovanni
G
Cadrobbi
Paolo
P
Concia
Ercole
E
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000517:prevention & control*; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D003105:Colombia / Q000208:ethnology; D004641:Emigration and Immigration; D005260:Female; D006660:Histoplasmosis / Q000175:diagnosis* / Q000517:prevention & control*; D006801:Humans; D007558:Italy; D008297:Male; D009549:Nigeria / Q000208:ethnology