Histoplasmosis is a disease caused by the fungus Histoplasma capsulatum. Symptoms ofthisinfection vary greatly, butthe disease affects primarily the lungs. Occasionally, other organs are affected; called disseminated histoplasmosis, Histoplasmosis is common among AIDS patients because of their suppressed immunity. Pulmonary histoplasmosis and disseminated histoplasmosis involving the skin can be a major cause of morbidity and mortality in patients with advanced acquired immunodeficiency syndrome and in patients with lymphoma. A 45 year old male, farmer by occupation, presented with multiple, painful nodules and ulcers over the tongue, angle of mouth and lips and dysphagia for 6 months. He also had numerous painful papulo nodular eruptions on head, trunk, and extremitiesfor 5 months. The lesion on the palate started as a small swelling which gradually increased in size and then ulcerate. After appropriate analysis the patient was treated with Itraconazole because of its easy availability and lesser cost.
Neha Gupta, Pulkit Chaturvedi, Vijay Paliwal* , Puneet Bhargava and Deepak K Mathur