title: Non-resolving pneumonia: A rare presentation of progressive disseminated histoplasmosis.
abstract: Histoplasmosis, a fungal disease caused by Histoplasma capsulatum, is endemic in North and South America. Except few scattered cases, the disease is considered to be a non-entity in India. Furthermore, disseminated histoplasmosis is rare in the immunocompetent individuals. We report an adolescent boy presenting as middle lobe consolidation which did not respond to antibiotics. His condition deteriorated with the development of mediastinal lymphadenopathy, pleural effusion and hepatosplenomegaly. A diagnosis of progressive disseminated histoplasmosis was established by his clinical findings as well as bronchoscopic biopsy, transbronchial needle aspiration cytology and bronchoalveolar lavage culture demonstrating Histoplasma capsulatum. The case represents a unique example of progressive disseminated histoplasmosis in an immunocompetent individual in India.
authors.affiliation: Department of Pulmonary Medicine, NRS Medical College and Hospital, Sealdah, Kolkata, West Bengal, India.
authors.forename: Supriya
authors.initials: S
authors.lastname: Sarkar
authors.affiliation: Burdwan Medical College and Hospital, Burdwan, West Bengal, India.
authors.forename: Kaushik
authors.initials: K
authors.lastname: Saha
authors.affiliation: Department of Pulmonary Medicine, NRS Medical College and Hospital, Sealdah, Kolkata, West Bengal, India.
authors.forename: Arnab
authors.initials: A
authors.lastname: Maji
authors.affiliation: Department of Pulmonary Medicine, NRS Medical College and Hospital, Sealdah, Kolkata, West Bengal, India.
authors.forename: Abhijit
authors.initials: A
authors.lastname: Kundu
keywords: Disseminated; histoplasmosis; non-resolving pneumonia