International Journal of STD & AIDS > Volume 19, Number 12 > Pp. 864-865

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Case reports

Gastrointestinal histoplasmosis in an HIV-infected patient living in a non-endemic area

D Peppa MRCP ^* , I Plumb MRCP ^*, J du Parcq MBBS , S Taylor FRCR  and R F Miller FRCP ^*  

^* T8, University College London Hospitals, London NW1 8BU; Research Department of Infection and Population Health, Division of Population Health, Royal Free and University College London Medical School, University College London, London WC1E 6JB, UK; Department of Histopathology, University College London Hospitals, London WC1E 6JJ; Department of Imaging, University College London Hospitals, London NW1 8BU, UK

Correspondence to: Professor Robert F Miller Email: rmiller{at}gum.ucl.ac.uk

A 36-year-old HIV-infected man presented with non-specific gastrointestinal symptoms and weight loss. Biopsy of the duodenum and an intra-abdominal lymph node showed Histoplasma capsulatum. The diagnosis of histoplasmosis was delayed as the presentation was initially ascribed to intercurrent enteric pathogens and the patient's lifetime travel history was not obtained.

Key Words: histoplasmosis • HIV infection • immunodeficiency • gastrointestinal • endemic

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