Koot R A, van Uum S H, Naber A H, Meis J F
Afd. Pathologie, Academisch Ziekenhuis, Nijmegen.
Ned Tijdschr Geneeskd. 1995 Jul 15;139(28):1454-6.
A 63-year-old, Dutch, HIV-seronegative man presented with anal pain and itch of 6 months' duration, a perianal ulcer and a solitary colon ulcer. Crohn's disease was suspected; the patient was treated with corticosteroids, but later died. Autopsy revealed disseminated histoplasmosis, a fungal disease rare in the Netherlands. The patient had visited Honduras. This case report illustrates that disseminated histoplasmosis may mimic Crohn's disease leading to a delay in the diagnosis.
一名63岁的荷兰籍男性，HIV血清学阴性，出现了持续6个月的肛门疼痛和瘙痒、肛周溃疡及单个结肠溃疡。怀疑为克罗恩病；该患者接受了皮质类固醇治疗，但后来死亡。尸检显示为播散性组织胞浆菌病，这是一种在荷兰罕见的真菌病。该患者曾去过洪都拉斯。本病例报告表明，播散性组织胞浆菌病可能会酷似克罗恩病，从而导致诊断延误。
