Ileal perforation secondary to histoplasmosis in AIDS |
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Authors: | Flannery M T Chapman V Cruz-Gonzales I Rivera M Messina J L |
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Affiliation: | Department of Internal Medicine, University of South Florida College of Medicine, Tampa, USA. mflann5555@aol.com |
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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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