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Ileal perforation secondary to histoplasmosis in AIDS
Authors:Flannery M T  Chapman V  Cruz-Gonzales I  Rivera M  Messina J L
Affiliation:Department of Internal Medicine, University of South Florida College of Medicine, Tampa, USA. mflann5555@aol.com
Abstract:
Our patient presented with abdominal pain, weight loss, and fever with evidence of oral thrush and pelvic inflammatory disease on exam. Radiographs demonstrated a small bowel obstruction with free air. An exploratory laparotomy demonstrated 2 perforations of the distal ileum. Pathologic exam revealed features consistent with histoplasmosis. We discuss gastrointestinal involvement of histoplasmosis in AIDS and its treatment.
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