title: [Histoplasmosis 45 years after infection in an immunocompetent man].
abstract: We report a case of a lung reactivation of a latent histoplasmosis in a 68-year-old patient without immunologic dysfunction living in Barcelona (Spain). The Histoplasma capsulatum var. capsulatum infection was probably acquired in a previous stay in Equatorial Guinea 45 years before. Diagnosis of mild chronic pulmonary histoplasmosis was performed by histopathology of lung biopsy plus antibodies detection against H. capsulatum. Treatment with oral itraconazol during three months leaded to a complete clinical cure, and antibodies disappeared after four years of follow up.
authors.affiliation: Unitat de Recerca en Malalties Infeccioses i Micologia, Unidad Docente del IMAS, Facultad de Medicina, Universitat Autónoma de Barcelona, Barcelona, España. jmtorres@imim.es
authors.forename: Josep M
authors.initials: JM
authors.lastname: Torres-Rodríguez
authors.forename: Gemma
authors.initials: G
authors.lastname: Segura-Roca
authors.forename: Joaquín
authors.initials: J
authors.lastname: Coll
mesh_terms: D000368:Aged; D016703:Equatorial Guinea; D006469:Hemoptysis / Q000209:etiology; D006660:Histoplasmosis / Q000175:diagnosis*; D006801:Humans; D007121:Immunocompetence; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D013030:Spain; D013997:Time Factors; D014195:Travel