title: [Chronic pulmonary histoplasmosis diagnosed in a nonimmunosuppressed patient 10 years after returning from an endemic area].
abstract: We report the case of a Spanish nonimmunosuppressed patient who was a chronic alcoholic and who developed chronic cavitary pulmonary histoplasmosis. He had been living in Venezuela until 10 years ago. The diagnosis was established when Histoplasma capsulatum was cultured from bronchoscopy samples. The patient was treated with itraconazole and progressed favorably until cure. This case suggests that histoplasmosis can reactivate years after exposure, even when significant immunodeficiency is not present. In the absence of another immunosuppressive factor, alcoholism may have played a role in the development of the condition.
authors.affiliation: Sección de Neumología, Hospital San Agustín, Avilés, Asturias, España. mgamarron-1@yahoo.es
authors.forename: Manuel
authors.initials: M
authors.lastname: García-Marrón
authors.forename: José María
authors.initials: JM
authors.lastname: García-García
authors.forename: Mercedes
authors.initials: M
authors.lastname: Pajín-Collada
authors.forename: Fernando
authors.initials: F
authors.lastname: Alvarez-Navascués
authors.forename: Manuel A
authors.initials: MA
authors.lastname: Martínez-Muñiz
authors.forename: Andrés A
authors.initials: AA
authors.lastname: Sánchez-Antuña
mesh_terms: D002908:Chronic Disease; D019353:Endemic Diseases; D006660:Histoplasmosis / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007121:Immunocompetence; D008172:Lung Diseases, Fungal / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014687:Venezuela / Q000453:epidemiology