Apendicitis aguda con peritonitis como única manifestación de unahistoplasmosis diseminada en un paciente con sida / No disponible
Enferm. emerg
; 10(3): 147-150, jul.-sept. 2008. ilus
Article
in Spanish
| IBECS
| ID: ibc-90761
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Las lesiones gastrointestinales de la histoplasmosis diseminada pueden presentar diversas manifestaciones clínicas. Se presenta un paciente con enfermedad VIH/sida avanzada que ingresa por neumopatía bilateral por Pneumocystis jirovecii, y que desarrolló durante la internación un cuadro de abdomen agudo con peritonitis por Histoplasma capsulatum, como primera y única manifestación de enfermedad diseminada por este agente. La histoplasmosis debe incluirse en el diagnóstico diferencial del abdomen agudo en los pacientes con sida. Se trata de una complicación poco frecuente de la enfermedad cuya sospecha resulta sumamente difícil cuando no existen otras localizaciones orientadoras (AU)
ABSTRACT
Gastrointestinal compromise of disseminated histoplasmosis can present as several clinical manifestations. We describe HIV/aids patients that consult for a bilateral pneumonia caused by Pneumocystis jiroveci. Later, but during the same admission to our hospital, he developed abdominal pain with signs of peritoneal involvement. Exploratory laparotomy was made; histopathology examination of the appendix and peritoneum smears revealed the presence of poor defined granulomas containing Histoplasma-like organisms. In this patient, appendicitis and peritonitis were the first and the only manifestation of the disease caused by Histoplasma capsulatum. Histoplasmosis should be included in the differential diagnosis of acute abdominal pain inaids patients. Is a less frequently complication and is very difficult to suspect when there are no other localizations of the disease (AU)
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Appendicitis
/
Peritonitis
/
HIV Infections
/
Histoplasmosis
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Enferm. emerg
Year:
2008
Document type:
Article
Institution/Affiliation country:
Hospital de Enfermedades Infecciosas F.J.Muñiz/Argentina