Document 0902 DOCN M9460902 TI [Disseminated histoplasmosis in children] DT 9404 AU Ramon-Garcia G; Pena-Alonso YR; Ontiveros-Nevares PG; Departamento de Patologia, Hospital Infantil de Mexico Federico; Gomez, Mexico, D.F. SO Bol Med Hosp Infant Mex. 1993 Dec;50(12):870-5. Unique Identifier : AIDSLINE MED/94153453 AB Disseminated histoplasmosis is a rare and severe form of the infection due to the fungus Histoplasma capsulatum. This form of disease is seen mainly in patients with some sort of immune deficiency either primary or secondary, in children under two years and in elderly people. An autopsy review at the Hospital Infantil de Mexico Federico Gomez disclosed eight cases of lethal disseminated histoplasmosis in an eight year period. All patients were malnourished, one of them also had a primary immunodeficiency an another had acquired immune deficiency syndrome. The age range was from two months to seven years; five patients were males. The organs more frequently affected were lungs, liver and spleen. In seven patients the diagnosis was established at postmortem study. The patients came from Morelos, Veracruz, Guerrero and Chiapas, regions considered endemic for histoplasmosis. A careful analysis of the clinical symptoms together with a detailed information of the living environment of patients, will lead to an accurate diagnosis and management of children with this disease. DE Autopsy AIDS-Related Opportunistic Infections/PATHOLOGY Child Child, Preschool English Abstract Female Histoplasmosis/DIAGNOSIS/*PATHOLOGY Human Immunologic Deficiency Syndromes/PATHOLOGY Infant Male Mexico Nutrition Disorders/PATHOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).