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Diadie S, Diatta B, Ndiaye M, Gaye M, Sow D, Ndiaye MT, Seck B, Diallo S, Diop A, Diallo M, Ly F, Niang SO, Kane A, Dieng MT. [Multifocal histoplasmosis due to Histoplasma capsulatum var. duboisii in a 22 year-old Senegalese patient without proven immunodepression]. J Mycol Med 2016; 26:265-70. [PMID: 27158080 DOI: 10.1016/j.mycmed.2016.03.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2015] [Revised: 03/03/2016] [Accepted: 03/30/2016] [Indexed: 10/21/2022]
Abstract
The authors report a case of multifocal African histoplasmosis with polymorphic skin involvement occuring in a patient without proven immunosuppression. He was a young 22-year-old patient from eastern Senegal - but born in Ouganda - who presented with polymorphic skin lesions: ombilicated papulo-nodules, gums and ulcerative and budding lesions. He showed lymphadenopathies without clinical inflammation and with a cheesy appearance of the biopsy but without tuberculosis and also hepatosplenic and bone involvement. Mycological samples of the skin and lymph nodes biopsies revealed yeasts of Histoplasma capsulatum var. duboisii with a positive culture on Sabouraud medium. HIV serology, HTLV1et 2, the serum proteins electrophoresis were unremarkable. Treatment with amphotericin B was irregular because of its inaccessibility in the national territory and its cost. The patient died of sepsis together with the aggravation of his disease.
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Affiliation(s)
- S Diadie
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - B Diatta
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M Ndiaye
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M Gaye
- Service d'anatomopathologie de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - D Sow
- Service de parasitologie, CHNU Fann-Dakar, Dakar, Sénégal.
| | - M T Ndiaye
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - B Seck
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - S Diallo
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - A Diop
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M Diallo
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - F Ly
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - S O Niang
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - A Kane
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
| | - M T Dieng
- Service de dermatologie, l'hôpital Aristide-Le-Dantec, Dakar, Sénégal.
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