Intestinal histoplasmosis in AIDS patients: report of three cases observed in France and review of the literature. - Archive ouverte HAL
Article Dans Une Revue European Journal of Gastroenterology & Hepatology Année : 1995

Intestinal histoplasmosis in AIDS patients: report of three cases observed in France and review of the literature.

A. Trylesinski
  • Fonction : Auteur
O. Bouchaud
  • Fonction : Auteur
S. Gharakanian
  • Fonction : Auteur
W. Rozenbaum
  • Fonction : Auteur
J. P. Gendre
  • Fonction : Auteur
Y. Le Quintrec
  • Fonction : Auteur

Résumé

We report three cases of colonic histoplasmosis observed in a non-endemic area in patients with AIDS. The patients presented with fever, abdominal pain and an abdominal mass in the right lower quadrant. Diagnosis was obtained using Gomori-Crocott staining of endoscopic or surgical biopsies. One patient died without specific treatment and two patients had a complete remission when treated with intravenous amphotericin B but suffered a relapse when given oral itraconazole. Thus, physicians in areas where intestinal histoplasmosis is not endemic should be aware of the condition. Diagnosis can easily be obtained using Gomori-Crocott staining of colonoscopic biopsies; this should avoid unnecessary laparotomies and allow specific treatment to be instituted rapidly.

Domaines

Chimie organique
Fichier non déposé

Dates et versions

hal-00815640 , version 1 (19-04-2013)

Identifiants

  • HAL Id : hal-00815640 , version 1
  • PUBMED : 8590165

Citer

A. Trylesinski, F. Carbonnel, O. Bouchaud, L. Beaugerie, S. Gharakanian, et al.. Intestinal histoplasmosis in AIDS patients: report of three cases observed in France and review of the literature.. European Journal of Gastroenterology & Hepatology, 1995, 7 ((7)), pp.679-83. ⟨hal-00815640⟩
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