Medical Case Reports

Mucocutaneous Histoplasmosisin an Immunocompetent Patient: A Case Report from Non-Endemic Region in North India

Histoplasmosis is a disease caused by the fungus Histoplasma capsulatum. Symptoms of this infection vary greatly, but the 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 extremities for 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.

Author(s):

Neha Gupta, Pulkit Chaturvedi, Vijay Paliwal* , Puneet Bhargava and Deepak K Mathur

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