Rare Presentation of Disseminated Histoplasmosis in an Immunocompetent Host

A 40-year-old gentleman from West Bengal, who is a farmer by profession, presented with easy fatigability, significant loss of weight, and asymptomatic, progressive nodulo-ulcerative lesions on his groins of 1 year duration. He gave no history of exploring caves or exposure to any large areas contam...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2015-12, Vol.93 (6), p.1125-1127
Main Authors: George, Anu Anna, Bindra, Mandeep, Mohanraj, Promila
Format: Article
Language:English
Subjects:
Adult
Histoplasma
Histoplasmosis - diagnosis
Histoplasmosis - pathology
Humans
Images in Clinical Tropical Medicine
Immunocompetence
Male
Mycobacterium
Skin - pathology
Treponema pallidum
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Summary:A 40-year-old gentleman from West Bengal, who is a farmer by profession, presented with easy fatigability, significant loss of weight, and asymptomatic, progressive nodulo-ulcerative lesions on his groins of 1 year duration. He gave no history of exploring caves or exposure to any large areas contaminated with bird droppings. General examination revealed firm, non-tender, discrete cervical, axillary, and inguinal lymphadenopathy. Systemic examination was within normal limits. Cutaneous examination showed dull erythematous, non-tender, and firm papules and nodules, few with central ulceration on both groins (Figures 1 and 2). There were no other skin lesions seen. The differentials considered were cutaneous tuberculosis, gummatous syphilis, atypical mycobacterial infection, nocardiosis, blastomycosis, sporotrichosis, and histiocytosis.
ISSN:0002-9637
1476-1645
DOI:10.4269/ajtmh.15-0239