Samannodi Mohammed, Minshawi Faisal, Hasbun Rodrigo
Department of Medicine, College of Medicine, Umm AlQura University, Makkah, Saudi Arabia.
Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia.
Med Mycol Case Rep. 2021 Aug 8;33:30-31. doi: 10.1016/j.mmcr.2021.08.001. eCollection 2021 Sep.
Disseminated histoplasmosis is common in immunocompromised patients such as patients with AIDS, hematologic malignancies, transplant recipients, and those on prolonged corticosteroid use. We report the case of a 53-year-old man with a history of end-stage renal disease due to uncontrolled hypertension who underwent renal transplantation in 2013. He presented to the hospital with a 5-day history of dyspnea, and blood tests showed pancytopenia. The diagnosis of disseminated histoplasmosis was made rapidly by peripheral blood smear. We encourage clinicians to check peripheral blood smear if disseminated histoplasmosis is suspected.
播散性组织胞浆菌病在免疫功能低下的患者中很常见，如艾滋病患者、血液系统恶性肿瘤患者、移植受者以及长期使用皮质类固醇的患者。我们报告一例53岁男性病例，该患者因高血压控制不佳导致终末期肾病，于2013年接受了肾移植。他因呼吸困难5天入院，血液检查显示全血细胞减少。通过外周血涂片迅速确诊为播散性组织胞浆菌病。我们鼓励临床医生在怀疑播散性组织胞浆菌病时检查外周血涂片。
