Hunter Nicole, Kostowniak Christian, Hamayel Abdallah, Bliss Aaron, Lakin Hunter, Tan Josenia, Proia Laurie
Department of Internal Medicine, Rochester Regional Health Unity Hospital, Rochester, New York, USA.
Department of Medicine, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, USA.
Open Forum Infect Dis. 2023 Mar 20;10(3):ofad145. doi: 10.1093/ofid/ofad145. eCollection 2023 Mar.
An immunocompetent woman presented with headaches. She previouslyworked at a farm in upstate New York. Brain MRI noted pituitary enlargement and neurosurgerypursued trans-sphenoidal pituitary biopsy. Histopathology revealed ill-defined granulomaswith clusters of yeast, consistent with Histoplasma.
一名免疫功能正常的女性出现头痛症状。她之前在纽约州北部的一个农场工作。脑部磁共振成像(MRI)显示垂体肿大,神经外科进行了经蝶窦垂体活检。组织病理学检查发现边界不清的肉芽肿,伴有酵母簇,符合组织胞浆菌病表现。