title: Histoplasmosis brain abscesses in an immunocompetent adult. A case report and literature review.
abstract: We describe the case of a 62-year-old man, who presented with a new onset of focal seizures of his right leg. There were no other clinical symptoms, and laboratory results were normal. Brain magnetic resonance imaging revealed multiple lesions, two supratentorial lesions were ring-enhancing. The brain biopsy tissue showed Histoplasma capsulatum abscesses. He improved on treatment with Amphotericin B. This case is reported since cerebral ring-enhancing lesions are rarely associated with histoplasmosis, which is also rare in an immunocompetent individual. We review the literature and discuss the radiologic and pathologic findings of this case compared with previous reports.
authors: Department of Radiology, CIMED; La Plata, Buenos Aires, Argentina - anainesandrade_21@hotmail.com.
authors: Ana Ines
authors: AI
authors: Andrade
authors: Department of Radiology, CIMED; La Plata, Buenos Aires, Argentina.
authors: Maren
authors: M
authors: Donato
authors: Department of Radiology, Louisiana State University Health Sciences center; Shreveport, LA, USA.
authors: Carlos
authors: C
authors: Previgliano
authors: Department of Radiology, Louisiana State University Health Sciences center; Shreveport, LA, USA.
authors: Mardjohan
authors: M
authors: Hardjasudarma
mesh_terms: D001921:Brain / Q000473:pathology; D001922:Brain Abscess / Q000276:immunology* / Q000473:pathology*; D004660:Encephalitis / Q000150:complications* / Q000276:immunology*; D006660:Histoplasmosis / Q000276:immunology* / Q000473:pathology*; D006801:Humans; D007121:Immunocompetence / Q000276:immunology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged
keywords: Histoplasma capsulatum; fungal abscess; immunocompetent individual; ring enhancing