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Chen J, Li Y, Li Z, Chen G, Liu X, Ding L. Metagenomic next-generation sequencing identified Histoplasma capsulatum in the lung and epiglottis of a Chinese patient: A case report. Int J Infect Dis 2020; 101:33-37. [PMID: 32950741 DOI: 10.1016/j.ijid.2020.09.038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 06/27/2020] [Accepted: 09/12/2020] [Indexed: 10/23/2022] Open
Abstract
Histoplasmosis is an endemic disease mainly occurring in North America and is rare in China. Confirmation of histoplasmosis should be based on a compatible clinical scenario and a positive culture or histopathology. However, there are still many cases that are misdiagnosed or missed, especially in individuals from non-endemic areas. In recent years, metagenomic next-generation sequencing (mNGS) has led to the accurate and timely diagnosis of some rare and complicated infectious diseases. We describe the case of a 27-year-old Chinese man who had chronic progressive pulmonary lesions without any symptoms for more than 1year, until the lesions reached the epiglottis and led to progressive pharyngeal pain. There were no positive results from bronchoalveolar lavage fluid (BALF) and epiglottis tissue cultures, or from epiglottis and lung pathological examinations, but mNGS was able to identify Histoplasma capsulatum in the epiglottis tissues and BALF as the cause of the lesions. The patient was treated successfully with itraconazole.
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Affiliation(s)
- Jiehua Chen
- Department of Infectious Diseases, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, Guangdong, China.
| | - Yingqin Li
- Department of Radiology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, Guangdong, China.
| | - Zizi Li
- Department of Pathology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, Guangdong, China.
| | - Gongqi Chen
- Department of Infectious Diseases, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, Guangdong, China.
| | - Xi Liu
- Department of Infectious Diseases, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, Guangdong, China.
| | - Li Ding
- Department of Infectious Diseases, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, Guangdong, China.
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Rubin F, Chartier S, Badoual C, Laccourreye O. Enlarged ulcerated tonsil and bilateral multiple enlarged neck nodes. Eur Ann Otorhinolaryngol Head Neck Dis 2019; 137:83-84. [PMID: 31859079 DOI: 10.1016/j.anorl.2019.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- F Rubin
- Clinique St-Vincent, 8, rue de Paris, CS 71027, 97404 Saint-Denis cedex, La Réunion, France
| | - S Chartier
- Université Paris Centre, Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, AP-HP, 20-40 rue leblanc, 75015 Paris, France
| | - C Badoual
- Université Paris Centre, Service d'anatomopathologie, hôpital européen Georges-Pompidou, AP-HP, 20-40, rue Leblanc, 75015 Paris, France
| | - O Laccourreye
- Université Paris Centre, Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, AP-HP, 20-40 rue leblanc, 75015 Paris, France.
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3
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Wright T, Coruh B, Fredricks D, Kim N. Immune reconstitution inflammatory syndrome associated with disseminated histoplasmosis and TNF-alpha inhibition. Med Mycol Case Rep 2018; 23:62-64. [PMID: 30662827 PMCID: PMC6325068 DOI: 10.1016/j.mmcr.2018.12.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 12/04/2018] [Accepted: 12/21/2018] [Indexed: 11/18/2022] Open
Abstract
Endemic fungal infections are a significant problem for patients on TNF-alpha inhibitors. Immune reconstitution inflammatory syndrome, IRIS, can present in patients with waning TNF-alpha inhibition and an endemic fungal infection. There may be a potential role that TNF-alpha inhibitors can play in mitigating IRIS related to disseminated endemic fungal infections.
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Affiliation(s)
- Theodore Wright
- Division of Infectious Diseases, University of Washington, Harborview Medical Center, Seattle, WA 98104, United States
| | - Basak Coruh
- Division of Pulmonary and Critical Care, University of Washington, University of Washington Medical Center, Seattle, WA 98104, United States
| | - David Fredricks
- Division of Infectious Diseases, University of Washington, Fred Hutchinson Cancer Research Center, Seattle, WA 98104, United States
| | - Nina Kim
- Division of Infectious Diseases, University of Washington, Harborview Medical Center, Seattle, WA 98104, United States
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Elias A, Saleh KA, Faranesh N, Dalal R, Geffen Y, Fisher Y, Neuberger A, Zaaroura S. Case Report: Histoplasmosis: First Autochthonous Case from Israel. Am J Trop Med Hyg 2018; 98:278-280. [PMID: 29165228 DOI: 10.4269/ajtmh.17-0603] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
We present an autochthonous Histoplasma infection in Israel. The patient presented with hoarseness and weight loss. Pathology findings and molecular tests confirmed the diagnosis, and the patient responded to antifungal therapy. Because the patient had an atypical presentation of histoplasmosis, it is likely that other more typical cases have gone unreported. To our knowledge, no other cases have been previously reported from Israel or the Middle East region.
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Affiliation(s)
- Adi Elias
- Department of Internal Medicine B, Rambam Healthcare Campus, Haifa, Israel
| | - Khaldun Abu Saleh
- Otorhinolaryngology (ENT) Department Head and Neck Surgery, French Hospital Nazareth, Faculty of Medicine of Bar Ilan University, Galilee, Israel
| | - Nabil Faranesh
- Otorhinolaryngology (ENT) Department Head and Neck Surgery, French Hospital Nazareth, Faculty of Medicine of Bar Ilan University, Galilee, Israel
| | - Raid Dalal
- Otorhinolaryngology (ENT) Department Head and Neck Surgery, French Hospital Nazareth, Faculty of Medicine of Bar Ilan University, Galilee, Israel
| | - Yuval Geffen
- Microbiology Laboratory, Rambam Healthcare Campus, Haifa, Israel
| | - Yael Fisher
- Department of Pathology, Rambam Healthcare Campus, Haifa, Israel
| | - Ami Neuberger
- Bruce Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.,Unit of Infectious Diseases, Department of Internal Medicine B, Rambam Healthcare Campus, Haifa, Israel.,Department of Internal Medicine B, Rambam Healthcare Campus, Haifa, Israel
| | - Suleiman Zaaroura
- Otorhinolaryngology (ENT) Department Head and Neck Surgery, French Hospital Nazareth, Faculty of Medicine of Bar Ilan University, Galilee, Israel
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A necrotic tonsillar lesion: An unusual presentation of disseminated histoplasmosis. Respir Med Case Rep 2017; 22:44-46. [PMID: 28652964 PMCID: PMC5476462 DOI: 10.1016/j.rmcr.2017.06.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2017] [Revised: 06/01/2017] [Accepted: 06/02/2017] [Indexed: 11/21/2022] Open
Abstract
We report a case of tonsillar histoplasmosis with hematogenous dissemination in a woman receiving infliximab for Crohn's disease. She also had a history of sarcoidosis. Due to the unusual location and confounding medical history, our case provided a diagnostic dilemma. Histoplasma infection was confirmed histologically, and the patient responded well to appropriate treatment.
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