A case study of disseminated histoplasmosis linked to common variable immunodeficiency

Histoplasma capsulatum, a ground fungus, can infect humans, normally in endemic areas; the resulting disease can be asymptomatic or it can have a benign development, but in rare cases it can develop into a serious clinical condition and can even be fatal. Its most characteristic initial location is...

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Main Authors: Acir Rachid, Lucila Stange Rezende, Suzelle Freitas de Moura, Paulo C. Loffy, Francisco Luiz Gomide M. Magalhães
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702003000400007&lng=en&tlng=en
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author Acir Rachid
Lucila Stange Rezende
Suzelle Freitas de Moura
Paulo C. Loffy
Francisco Luiz Gomide M. Magalhães
author_facet Acir Rachid
Lucila Stange Rezende
Suzelle Freitas de Moura
Paulo C. Loffy
Francisco Luiz Gomide M. Magalhães
author_sort Acir Rachid
collection DOAJ
description Histoplasma capsulatum, a ground fungus, can infect humans, normally in endemic areas; the resulting disease can be asymptomatic or it can have a benign development, but in rare cases it can develop into a serious clinical condition and can even be fatal. Its most characteristic initial location is in the lungs, resembling tuberculosis, often accompanied by mediastinitis and an exuberant fibrotic response. The spread of this infection can be caused by the concomitance of another illness that alters the immunological balance. Sometimes such an association is not clear. Therefore, disseminated histoplasmosis is defined as a clinical condition where the fungus is present in more than one location. Common variable immunodeficiency is characterized by a generalized failure in the synthesis of antibodies, leading the affected individuals to present recurrent infections, especially those caused by encapsulated bacteria, most often involving the respiratory tract. We studied a serious case of disseminated histoplasmosis, accompanied by common variable immunodeficiency, observed at the Infirmary of the department of Medical Practice of the Federal University at Paraná Hospital das Clínicas.
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spelling doaj.art-781588eaa5dd4143a2ed653d3b00fc232022-12-21T19:05:04ZengElsevierBrazilian Journal of Infectious Diseases1678-43917426827210.1590/S1413-86702003000400007S1413-86702003000400007A case study of disseminated histoplasmosis linked to common variable immunodeficiencyAcir Rachid0Lucila Stange Rezende1Suzelle Freitas de Moura2Paulo C. Loffy3Francisco Luiz Gomide M. Magalhães4Universidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáHistoplasma capsulatum, a ground fungus, can infect humans, normally in endemic areas; the resulting disease can be asymptomatic or it can have a benign development, but in rare cases it can develop into a serious clinical condition and can even be fatal. Its most characteristic initial location is in the lungs, resembling tuberculosis, often accompanied by mediastinitis and an exuberant fibrotic response. The spread of this infection can be caused by the concomitance of another illness that alters the immunological balance. Sometimes such an association is not clear. Therefore, disseminated histoplasmosis is defined as a clinical condition where the fungus is present in more than one location. Common variable immunodeficiency is characterized by a generalized failure in the synthesis of antibodies, leading the affected individuals to present recurrent infections, especially those caused by encapsulated bacteria, most often involving the respiratory tract. We studied a serious case of disseminated histoplasmosis, accompanied by common variable immunodeficiency, observed at the Infirmary of the department of Medical Practice of the Federal University at Paraná Hospital das Clínicas.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702003000400007&lng=en&tlng=enDisseminated histoplasmosiscommon variable immunodeficiencyimmunoglobulins
spellingShingle Acir Rachid
Lucila Stange Rezende
Suzelle Freitas de Moura
Paulo C. Loffy
Francisco Luiz Gomide M. Magalhães
A case study of disseminated histoplasmosis linked to common variable immunodeficiency
Brazilian Journal of Infectious Diseases
Disseminated histoplasmosis
common variable immunodeficiency
immunoglobulins
title A case study of disseminated histoplasmosis linked to common variable immunodeficiency
title_full A case study of disseminated histoplasmosis linked to common variable immunodeficiency
title_fullStr A case study of disseminated histoplasmosis linked to common variable immunodeficiency
title_full_unstemmed A case study of disseminated histoplasmosis linked to common variable immunodeficiency
title_short A case study of disseminated histoplasmosis linked to common variable immunodeficiency
title_sort case study of disseminated histoplasmosis linked to common variable immunodeficiency
topic Disseminated histoplasmosis
common variable immunodeficiency
immunoglobulins
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702003000400007&lng=en&tlng=en
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