An unusual infection in an immunocompetent male from a non-endemic area: Lessons from a vacation

  • Ritesh Neupane Department of Internal Medicine, Easton Hospital, PA, United States.
  • Munish Sharma | munishs1@hotmail.com Department of Pulmonary Medicine, Corpus Christi Medical Center, Texas, United States.
  • Divakar Sharma Department of Pulmonary and Critical Care, Easton Hospital, PA, United States.
  • Rajeev Thachil Department of Pulmonary and Critical Care, Easton Hospital, PA, United States.
  • Mahesh Krishnamurthy Department of Internal Medicine, Easton Hospital, PA, United States.
  • Gerald Lowman Department of Pulmonary and Critical Care, Easton Hospital, PA, United States.

Abstract

Primary pulmonary histoplasmosis is found worldwide, and is particularly endemic in some areas of the North America, usually those surrounding the Ohio and Mississippi river valleys. It is not common in the East Coast of the United States, and is in fact, reportable in Pennsylvania. It has been rarely described in immunocompetent individuals residing in a non-endemic region. We present a case of a previously healthy middle-aged male, a Pennsylvania resident, who presented with mid-sternal chest discomfort, fatigue, chills and mild shortness of breath, and was diagnosed with primary pulmonary histoplasmosis.

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Published
2019-08-09
Section
Case Reports
Keywords:
Primary pulmonary histoplasmosis, Pulmonary nodules, Computed tomography of chest, Itraconazole, Histoplasma antigen
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How to Cite
Neupane, R., Sharma, M., Sharma, D., Thachil, R., Krishnamurthy, M., & Lowman, G. (2019). An unusual infection in an immunocompetent male from a non-endemic area: Lessons from a vacation. Clinics and Practice, 9(3). https://doi.org/10.4081/cp.2019.1141