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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893

Abstract

LEZCANO MARTIN, María Azucena et al. Systemic histoplasmosis with single skin lesion in a patient with AIDS. Rev. virtual Soc. Parag. Med. Int. [online]. 2023, vol.10, n.1, pp.107-112. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2023.10.01.107.

Histoplasmosis is caused by the dimorphic fungus Histoplasma capsulatum, which involves lymphatic tissue, lungs, liver, spleen, adrenal glands, kidneys, and skin. In recent years, it has emerged as an opportunistic disease, mainly in individuals with altered cellular immunity, as is the case of AIDS patients.

About 70% of South American patients with histoplasmosis and AIDS have

cutaneous or mucosal lesions. In Argentina and Paraguay, histoplasmosis is the most common systemic mycosis in individuals with HIV infection.

We present the case of an patient diagnosed with systemic histoplasmosis whose only manifestation is a single skin lesion, confirmed by pathology and, fundamentally by culture, constituting an unusual clinic presentation.

Keywords : histoplasmosis; Histoplasma; acquired immunodeficiency syndrome.

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