title: A rare presentation of progressive disseminated histoplasmosis in an immunocompetent patient from a non-endemic region.
abstract: Histoplasmosis is an important systemic fungal infection in endemic areas. In India, the disease has been reported from several parts of the country, most cases being from eastern India considered to be endemic for the disease. There have been very few cases reported from the state of Andhra Pradesh, in the southern part of India. We report a case of progressive disseminated histoplasmosis presenting with bleeding manifestations in an immune competent patient from the state of Andhra Pradesh.
authors.affiliation: Department of General Medicine, Nizam's Institute of Medical Sciences, Hyderabad 500082, Andhra Pradesh, India.
authors.forename: M V S
authors.initials: MV
authors.lastname: Subbalaxmi
authors.affiliation: Department of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad 500082, Andhra Pradesh, India.
authors.forename: P
authors.initials: P
authors.lastname: Umabala
authors.affiliation: Department of Pathology, Nizam's Institute of Medical Sciences, Hyderabad 500082, Andhra Pradesh, India.
authors.forename: Roshni
authors.initials: R
authors.lastname: Paul
authors.affiliation: Department of General Medicine, Nizam's Institute of Medical Sciences, Hyderabad 500082, Andhra Pradesh, India.
authors.forename: Naval
authors.initials: N
authors.lastname: Chandra
authors.affiliation: Department of General Medicine, Nizam's Institute of Medical Sciences, Hyderabad 500082, Andhra Pradesh, India.
authors.forename: Y S
authors.initials: YS
authors.lastname: Raju
authors.affiliation: Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Shivaprakash M
authors.initials: SM
authors.lastname: Rudramurthy
keywords: Histoplasmosis; Immunocompetent host; India; PDH; Thrombocytopenia