ABSTRACT
Disseminated histoplasmosis is rare in Jamaica. However, with the increase in the number of immunocompromised patients in the population, the prevalence of this infection is likely to increase. We present a case of disseminated histoplasmosis in a 16-year-old girl with the acquired immune deficiency syndrome who presented to the Paediatric Infectious Diseases Service of the University Hospital of the West Indies, with cervical lymphadenitis progressing to ulcers and abscesses showing granulomatous inflammation likely to be of fungal aetiology. She later presented to the Emergency Room, with respiratory and gastrointestinal symptoms and was admitted to hospital, disoriented and with a persistent fever. She developed nuchal rigidity while in hospital and was anaemic, leukopaenic and thrombocytopaenic. She died of gastrointestinal bleed ten days post admission. She was the oldest known survivor of mother-to-child-transmission of human immunodeficiency virus in Jamaica. The slow growing fungus, Histoplasma capsulatum, was isolated from the patient's blood three weeks after the specimen was sent to the laboratory
Subject(s)
Humans , Female , Adolescent , Histoplasmosis/diagnosis , AIDS-Related Opportunistic Infections/diagnosis , Diagnosis, Differential , Fatal Outcome , JamaicaABSTRACT
Esta publicación presenta esquemas prácticos de capacitacion de grupos interdisciplinarios de salud para el trabajo directo en y con la comunidad, asi como en la formacion y supervision del forma esquematica, se combina la teoria y la practica a fin de facilitar la comprension simplicacion y aplicacion de los conocimientos en los varios componentes de la atención primaria. La publicación esta dividida en tres partes: Parte I: La habilidad social y el trabajador de atención primaria. Parte II: Salud de la comunidad. Parte III: Salud del individuo (Madre, Nino, Adulto)