Document 0064
 DOCN  M9460064
 TI    Oral histoplasmosis in a patient infected with HIV. A case report.
 DT    9404
 AU    Swindells S; Durham T; Johansson SL; Kaufman L; Department of Internal
       Medicine, University of Nebraska Medical; Center, Omaha.
 SO    Oral Surg Oral Med Oral Pathol. 1994 Feb;77(2):126-30. Unique Identifier
       : AIDSLINE MED/94188038
 AB    Histoplasmosis is a frequent complication of HIV infection and is
       usually the result of reactivation. In the immunocompromised host,
       histoplasmosis may cause a chronic pulmonary infection or disseminated
       disease. In the setting of disseminated disease, oral lesions are
       present in 30% to 50% of patients and may occur in almost every part of
       the oral mucosa. The most common sites are the tongue, palate, and
       buccal mucosa. In some cases, oral lesions appear to be the primary or
       only manifestation of disease. We have been able to find only five case
       reports in the literature of histoplasmosis in HIV infection with oral
       lesions. In two of the cases, histoplasmosis was apparently localized to
       the oral cavity, whereas two cases also had evidence of disseminated
       disease, the fifth was undetermined. We report one such case of
       apparently localized oral histoplasmosis in a patient with HIV
       infection.
 DE    Adult  AIDS-Related Opportunistic Infections/DRUG THERAPY/*MICROBIOLOGY
       Case Report  Fluconazole/THERAPEUTIC USE  Histoplasmosis/DRUG
       THERAPY/*ETIOLOGY/MICROBIOLOGY  Human  Male  Metronidazole/THERAPEUTIC
       USE  Mouth Diseases/DRUG THERAPY/*MICROBIOLOGY  JOURNAL ARTICLE  REVIEW
       REVIEW OF REPORTED CASES

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