Cutaneous histoplasmosis disclosing an HIV-infection

Histoplasmosis is a systemic mycosis endemic in extensive areas of the Americas. The authors report on an urban adult male patient with uncommon oral-cutaneous lesions proven to be histoplasmosis. Additional investigation revealed unnoticed HIV infection with CD4+ cell count of 7/mm3. The treatment was performed with amphotericin B, a 2065 mg total dose followed by itraconazole 200mg/daily plus antiretroviral therapy with apparent cure. Histoplasmosis is an AIDS-defining opportunistic disease process; therefore, its clinical diagnosis must drive full laboratory investigation looking for unnoted HIV-infection.

Bibliographic Details

Main Authors:	Marques,Silvio Alencar, Silvares,Maria Regina Cavariani, Camargo,Rosangela Maria Pires de, Marques,Mariangela Esther Alencar
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Dermatologia 2013
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000300420
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