Intestinal histoplasmosis in immunocompetent patient: An unusual cause of massive small intestine bleeding

Elisa Jiménez-Rivera, Ediel O. Dávila-Ruiz, Roberto A. García-Manzano, Gustavo A. Santos-Chab, José M. Aguirre-Trejo, Javier Fabián Fabián, Fabián Tafoya-Ramirez
2021 Revista Médica del Hospital General de México  
Small bowel bleeding (SBB) accounts for 5-10% of patients with gastrointestinal bleeding and its association is unusual in patients with histoplasmosis. The incidence of gastrointestinal histoplasmosis is unknown since only 3-12% present symptoms, predominantly in immunocompromised patients. However, in immunocompetent hosts, it is reported only in 0.05% of cases. A clinical case of an immunocompetent patient with massive SBB, Grade IV hypovolemic shock associated with systemic histoplasmosis
more » ... d treated with intestinal resection and amphotericin B is hereby discussed.
doi:10.24875/hgmx.20000062 fatcat:ih7n4zt7azcd5dnlzglwr5arta