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Southeast Asian J Trop Med Public Health ; 2005 Sep; 36(5): 1272-4
Artigo em Inglês | IMSEAR | ID: sea-31008

RESUMO

Although disseminated histoplasmosis is recognized as a common opportunistic infection in HIV-infected persons living in endemic areas, it is not widely reported in Southeast Asia, and has not been reported in Cambodia. It remains unanswered whether this is secondary to a low disease prevalence, or whether the disease, which is associated with a nonspecific clinical presentation, is under diagnosed. In addition to a review of the literature regarding histoplasmosis in Southeast Asia, we provide a description of two HIV-1 infected patients with documented disseminated histoplasmosis complicating other opportunistic infections in Phnom Penh, Cambodia. These two cases highlight the need for both a high clinical suspicion, and reliable laboratory testing, in a setting where there is likely to be more than one infection complicating the patient's clinical course.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/complicações , Adulto , Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Camboja/epidemiologia , Feminino , Fluconazol/uso terapêutico , Histoplasmose/complicações , Humanos , Masculino
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