Document 0507
 DOCN  M9490507
 TI    [Digestive histoplasmosis in a patient with AIDS from Guadeloupe]
 DT    9411
 AU    Boulard F; Cnudde F; Teron-Aboud B; Kermanac'h P; Nicolas M; Juminer B;
       Service de Medecine B, Centre hospitalier general; intercommunal,
       Basse-Terre, Saint-Claude, Guadeloupe.
 SO    Ann Gastroenterol Hepatol (Paris). 1994 May-Jun;30(3):97-100. Unique
       Identifier : AIDSLINE MED/94346743
 AB    The authors report the case of a 45-year-old HIV and HTLV1 antibody
       positive male patient form French West-Indies who was infected by
       disseminated histoplasmosis presenting as acute diarrhea.
       Esophagogastroduodenoscopy revealed gastric mass and colonoscopy patchy
       erythematous mucosa. The diagnosis was made by histology of bone marrow
       specimens, upper gastrointestinal tract and colon biopsies, and late
       skin lesions. Initial therapy with amphotericin B and itraconazole was
       successful, but maintenance therapy with itraconazole alone did not
       prevent relapse and a fatal outcome. Disseminated histoplasmosis in AIDS
       patients may be present as gastrointestinal manifestations and should be
       kept in mind in non endemic areas such as the French West Indies.
 DE    Animal  AIDS-Related Opportunistic Infections/*PATHOLOGY  Case Report
       Cryptosporidiosis/DIAGNOSIS  Dermatomycoses/PATHOLOGY  Diagnosis,
       Differential  Diarrhea/MICROBIOLOGY  Endoscopy, Gastrointestinal
       English Abstract  Histoplasmosis/*PATHOLOGY  Human  *HIV-1  HTLV-I
       Intestinal Diseases/*MICROBIOLOGY/*PATHOLOGY  Intestinal Diseases,
       Parasitic/DIAGNOSIS  Male  Middle Age  Stomach
       Diseases/*MICROBIOLOGY/*PATHOLOGY/PARASITOLOGY  West Indies  JOURNAL
       ARTICLE

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