Chronic pulmonary histoplasmosis in an immunocompetent adult

Histoplasmosis pulmonar crónica en un adulto inmunocompetente

Published 2018-05-10

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Vol. 29 No. 2 (2017)
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Presentación de casos
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Chronic pulmonary histoplasmosis in an immunocompetent adult.
rev. colomb. neumol. [Internet]. 2018 May 10 [cited 2024 Nov. 24];29(2):67-73. Disponible en: https://doi.org/10.30789/rcneumologia.v29.n2.2017.269
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https://doi.org/10.30789/rcneumologia.v29.n2.2017.269
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Ivonne Tatiana Ordóñez Blanco
Hospital Universitario San Ignacio, Departamento de Medicina Interna. Bogotá, Colombia
    Javier Ricardo Garzón Herazo
    Hospital Universitario San Ignacio, Unidad de Infectología. Bogotá, Colombia
      Javier Iván Lasso Apráes
      Hospital Universitario San Ignacio, Uni- dad de Neumología. Bogotá, Colombia
        Viviana Cruz Ramírez
        Pontificia Universidad Javeriana, Departamento de Epidemiología. Bogotá, Colombia.
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          Histoplasmosis is the most common endemic mycosis around the world, increasing proportionally with the growing need of immunosuppressive therapies for the treatment of different diseases. Caused by the microorganism Histoplasma capsulatum, the most frequent clinical form is the pulmonary one, which is classified, according to the time of presentation, inacute, subacute, and chronic. Chronic histoplasmosis accounts for 8% of cases, characterized by the progressive formation of cavities and extensive destruction of the pulmonary parenchyma, typically described in patients with chronic pulmonary disease and smoking history. In Colombia, up to 10% of cases is not associated with risk factors. Given its importance and the scarce information reported in the literature, we present the case of a 50-year-old man treated at Hospital Universitario San Ignacio who was diagnosed with chronic pulmonary histoplasmosis and in whom immunodeficiency studies were normal, identifying themselves as unique factor of risk its occupation as demolisher of constructions.

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