title: Gastrointestinal histoplasmosis in a patient after autologous stem cell transplant for multiple myeloma.
abstract: A 59-year-old patient with multiple myeloma on maintenance chemotherapy presented with fever, weight loss, and night sweats. An F-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) computed tomography (CT) showed intra-abdominal lymphadenopathy with a mesenteric mass that led to further workup and diagnosis of histoplamosis. The patient was treated with amphotericin B and subsequently switched to itraconazole. This exemplifies the usefulness of FDG PET CT in diagnosis of infectious complications.
authors.affiliation: Myeloma Institute, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA.
authors.forename: Meera
authors.initials: M
authors.lastname: Mohan
authors.affiliation: Department of Pathology, UAMS, Little Rock, AR, USA.
authors.forename: Bradley
authors.initials: B
authors.lastname: Fogel
authors.affiliation: Department of Radiology, UAMS, Little Rock, AR, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Eluvathingal
authors.affiliation: UAMS, Little Rock, AR, USA.
authors.forename: Carolina
authors.initials: C
authors.lastname: Schinke
authors.affiliation: Division of Infectious Diseases, UAMS, Little Rock, AR, USA.
authors.forename: Atul
authors.initials: A
authors.lastname: Kothari
mesh_terms: D000666:Amphotericin B / Q000008:administration & dosage / Q000627:therapeutic use; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000970:Antineoplastic Agents / Q000097:blood / Q000627:therapeutic use; D003113:Colonoscopy; D005334:Fever / Q000209:etiology; D019788:Fluorodeoxyglucose F18 / Q000008:administration & dosage; D005767:Gastrointestinal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006658:Histoplasma / Q000302:isolation & purification*; D006660:Histoplasmosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007082:Ileum / Q000473:pathology / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D017964:Itraconazole / Q000008:administration & dosage / Q000627:therapeutic use; D000072281:Lymphadenopathy / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000188:drug therapy / Q000601:surgery*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D015431:Weight Loss; D047071:beta-Glucans / Q000097:blood
chemical_list: D000935:Antifungal Agents; D000970:Antineoplastic Agents; D019275:Radiopharmaceuticals; D047071:beta-Glucans; D019788:Fluorodeoxyglucose F18; D017964:Itraconazole; D000666:Amphotericin B; C033363:beta-1,3-glucan
keywords: 
  FDG PET CT
  ; 
  Histoplasma
  ; gastrointestinal histoplamosis; histoplasmosis; myeloma; stem cell transplant