title: Disseminated histoplasmosis in an immunocompetent haweli dweller: A diagnosis and follow-up by endoscopic ultrasound-guided fine-needle aspiration.
abstract: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is nowadays widespread minimally invasive procedure for diagnosing a large number of benign as well as malignant lesions. We report a case of a 62-year-old immunocompetent elderly male, who presented with high-grade fever, hepatosplenomegaly and mediastinal and intra-abdominal lymph nodes. He was residing in an old haweli with bats infestation. EUS-FNA of the subcarinal and the preaortic lymph node clinched the diagnosis. A rapid on-site evaluation of the cytology material revealed organisms conforming to the morphology of Histoplasma capsulatum. The patient was immediately started on amphotericin B and itraconazole and responded well. In this case, we found the role of EUS-FNA not only in diagnosis, but also in the follow-up of the patient.
authors.affiliation: Department of Cytopathology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.
authors.forename: Ruth Shifa
authors.initials: RS
authors.lastname: Ecka
authors.affiliation: Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.
authors.forename: Malay
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Department of Medicine, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.
authors.forename: Veerottam
authors.initials: V
authors.lastname: Tomar
keywords: Disseminated histoplasmosis; endoscopic ultrasound-guided fine needle aspiration; haweli resident; immunocompetent lymph node