Intestinal histoplasmosis in immunocompetent patient: An unusual cause of massive small intestine bleeding

Revista Médica del Hospital General de México

José M. Aguirre-Trejo¹  Elisa Jiménez-Rivera¹  Javier Fabián Fabián¹  Gustavo A. Santos-Chab¹  Fabián Tafoya-Ramirez²  Ediel O. Dávila-Ruiz³  Roberto A. García-Manzano³ 

[1] Departament of General Surgery and Minimal Invasion, Hospital Regional de Alta Especialidad de Oaxaca, San Bartolo Coyotepec, Oaxaca, Mexico;Departament of de Anatomy Pathology. Hospital Regional de Alta Especialidad de Oaxaca, San Bartolo Coyotepec, Oaxaca, Mexico;Department of General Surgery, Hospital Regional de Alta Especialidad de Oaxaca, Secretaria de Salud, San Bartolo Coyotepec, Oaxaca, Mexico;

关键词: Intestinal histoplasmosis;    Disseminated histoplasmosis;    Small bowel bleeding;   

DOI  :  10.24875/HGMX.20000062

来源: DOAJ

【 摘 要 】

Small bowel bleeding (SBB) accounts for 5-10% of patients with gastrointestinal bleeding and its association is unusual in patients with histoplasmosis. The incidence of gastrointestinal histoplasmosis is unknown since only 3-12% present symptoms, predominantly in immunocompromised patients. However, in immunocompetent hosts, it is reported only in 0.05% of cases. A clinical case of an immunocompetent patient with massive SBB, Grade IV hypovolemic shock associated with systemic histoplasmosis and treated with intestinal resection and amphotericin B is hereby discussed.

【 授权许可】

Unknown