Rare case of pulmonary histoplasmosis complicated with bronchocentric granulomatosis in a non endemic area

We report a rare case of cervical epidural abscess at the C5-C6 levels. The patient underwent surgery with complete abscess removal through C6 vertebral body corpectomy. The result of bacteriological culture was Brucella melitensis. Brucellosis must be considered as a possible cause of epidural abscess in patients from endemic area.

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Chronic Pulmonary Histoplasmosis Diagnosed in a Nonimmunosuppressed Patient 10 Years After Returning From an Endemic Area

Archivos de Bronconeumología (English Edition) ◽

10.1016/s1579-2129(08)60103-2 ◽

2008 ◽

Vol 44 (10) ◽

pp. 567-570 ◽

Cited By ~ 5

Author(s):

Manuel García-Marrón ◽

José María García-García ◽

Mercedes Pajín-Collada ◽

Fernando Álvarez-Navascués ◽

Manuel A. Martínez-Muñiz ◽

...

Keyword(s):

Endemic Area ◽

Pulmonary Histoplasmosis

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An unusual infection in an immunocompetent male from a non-endemic area: Lessons from a vacation

Clinics and Practice ◽

10.4081/cp.2019.1141 ◽

2019 ◽

Vol 9 (3) ◽

Author(s):

Ritesh Neupane ◽

Munish Sharma ◽

Divakar Sharma ◽

Rajeev Thachil ◽

Mahesh Krishnamurthy ◽

...

Keyword(s):

Mississippi River ◽

Endemic Area ◽

East Coast ◽

The United States ◽

Shortness Of Breath ◽

Chest Discomfort ◽

Endemic Region ◽

The North ◽

Pulmonary Histoplasmosis ◽

River Valleys

Primary pulmonary histoplasmosis is found worldwide, and is particularly endemic in some areas of the North America, usually those surrounding the Ohio and Mississippi river valleys. It is not common in the East Coast of the United States, and is in fact, reportable in Pennsylvania. It has been rarely described in immunocompetent individuals residing in a non-endemic region. We present a case of a previously healthy middle-aged male, a Pennsylvania resident, who presented with mid-sternal chest discomfort, fatigue, chills and mild shortness of breath, and was diagnosed with primary pulmonary histoplasmosis.

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Delayed Diagnosis of Pulmonary Histoplasmosis in an Immunocompetent Young Asthmatic Female from Florida, a Non-Endemic Area for Histoplasma Capsulatum

Medical Mycology Open Access ◽

10.21767/2471-8521.100001 ◽

2015 ◽

Vol 1 (1) ◽

Cited By ~ 2

Author(s):

Meghana Gudala

Keyword(s):

Endemic Area ◽

Histoplasma Capsulatum ◽

Delayed Diagnosis ◽

Pulmonary Histoplasmosis

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Primary Retroperitoneal Filariasis Presenting with Acute Abdomen

Dubai Medical Journal ◽

10.1159/000514510 ◽

2021 ◽

pp. 1-3

Author(s):

Maram Z. Nached ◽

Labib S. Al-Ozaibi

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Rare Case ◽

Endemic Area ◽

Groin Pain ◽

Acute Abdominal Pain ◽

Parasitic Infection ◽

Retroperitoneal Cyst ◽

Tomography Scan ◽

Primary Retroperitoneal

Lymphatic filariasis is a common tropical parasitic infection caused by the Nematoda Filarioidae family. Filariasis predominantly affects the lymphoreticular system, leading to lymphedema, elephantiasis, hydrocele, and chyluria. However, its presentation as retroperitoneal cyst is very rare with a reported incidence rate of 1/105,000. We present a rare case of a previously healthy 26-year-old male presenting with abdominal and groin pain associated with chills and vomiting. Computerized tomography scan showed extensive cystic retroperitoneal lesion and ultrasound demonstrated “Dancing Filarial Sign.” Retroperitoneal filariasis can present without peripheral filarial signs. Hence, it should be considered in the differential diagnosis of acute abdominal pain of a patient who is originally from an endemic area.

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