title: Cutaneous presentation of progressive disseminated histoplasmosis nine years after renal transplantation.
abstract: Initial presentation of invasive fungal infections such as histoplasmosis can include non-specific clinical manifestations, especially in immunocompromised patients. A high index of suspicion is required to identify atypical manifestations of these diseases, which carry a high risk of mortality, if the diagnosis is delayed or missed. We describe a case of a kidney transplant recipient with cutaneous lesions as initial manifestation of progressive disseminated histoplasmosis where a skin biopsy was crucial to an early diagnosis.
authors: Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors: V M
authors: VM
authors: Rosado-Odom
authors: J
authors: J
authors: Daoud
authors: R
authors: R
authors: Johnson
authors: S D
authors: SD
authors: Allen
authors: S R
authors: SR
authors: Lockhart
authors: N
authors: N
authors: Iqbal
authors: W-J
authors: WJ
authors: Shieh
authors: S
authors: S
authors: Zaki
authors: A A
authors: AA
authors: Sharfuddin
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006660:Histoplasmosis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D016867:Immunocompromised Host; D017964:Itraconazole / Q000627:therapeutic use; D016030:Kidney Transplantation; D009820:Ohio; D011183:Postoperative Complications; D013997:Time Factors; D016896:Treatment Outcome; D044465:White People
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole
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