典型文献
Disseminated histoplasmosis in a 17-year-old Nigerian male patient: A case report
文献摘要：
Rationale: Disseminated histoplasmosis is the most severe form of histoplasmosis and often associated with fatal outcomes. Both pulmonary and disseminated forms mimics tuberculosis (TB) and may be misdiagnosed.Patient concerns: A 17-year-old male patient compliant with anti-tuberculosis therapy with complaints of fever, cough productive of thick yellowish sputum, fast breathing, abdominal pain, swelling and jaundice. HIV status was negative. Diagnosis: Disseminated histoplasmosis. Interventions: Antimicrobials including anti-TB therapy, ceftriaxone, gentamicin, azithromycin and ciprofloxacin. Outcomes: He was responding to anti-TB drugs until about 4 and a half months on treatment when he fell ill. Peripheral blood film done 2 days prior to his demise revealed florid yeast like organisms in monocytes with eccentric chromatin suggestive of Histoplasma capsulatum. Lessons: Histoplasmosis can both mimic and coexist with TB and so a high index of suspicion is needed for its diagnosis.
文献关键词：
中图分类号：
作者姓名：
Atana Uket Ewa;Bassey Ewa Ekeng;Glory Ekpo Bassey;Enobong Ufot Akpah;Osamagbe Aiyudubie Asemota;Livinus Nwancho Nweke
作者机构：
Department of Paediatrics, University of Calabar, Calabar, Nigeria;Department of Paediatrics, University of Calabar Teaching Hospital, Calabar, Nigeria;Medical Mycology Society of Nigeria;Department of Medical Microbiology and Parasitology, University of Calabar Teaching Hospital, Calabar, Nigeria
文献出处：
引用格式：
[1]Atana Uket Ewa;Bassey Ewa Ekeng;Glory Ekpo Bassey;Enobong Ufot Akpah;Osamagbe Aiyudubie Asemota;Livinus Nwancho Nweke-.Disseminated histoplasmosis in a 17-year-old Nigerian male patient: A case report)[J].亚太热带医药杂志（英文版）,2022(06):283-286
A类：
histoplasmosis,ceftriaxone,florid,Histoplasma,capsulatum,Histoplasmosis
B类：
Disseminated,year,old,Nigerian,male,patient,case,report,Rationale,most,severe,often,associated,fatal,outcomes,Both,pulmonary,disseminated,forms,mimics,tuberculosis,TB,may,misdiagnosed,Patient,concerns,compliant,anti,therapy,complaints,fever,cough,productive,thick,yellowish,sputum,fast,breathing,abdominal,pain,swelling,jaundice,HIV,status,was,negative,Diagnosis,Interventions,Antimicrobials,including,gentamicin,azithromycin,ciprofloxacin,Outcomes,He,responding,drugs,until,about,half,months,treatment,when,fell,ill,Peripheral,blood,film,done,days,prior,demise,revealed,yeast,like,organisms,monocytes,eccentric,chromatin,suggestive,Lessons,can,both,coexist,high,suspicion,needed,its,diagnosis
AB值：
0.669156
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