Format:
Online-Ressource
ISSN:
2583-844X
Content:
Abstract: Histoplasmosis is an uncommon cause of pyrexia of unknown origin in India. We present a case of hepatic histoplasmosis presenting as pyrexia of unknown origin. The patient had splenomegaly, thrombocytopenia, high serum-ascites albumin gradient, and imaging suggestive of cirrhosis. The patient had received 2 months of antitubercular treatment and came to us because of a lack of improvement. A liver biopsy was done because of cholestatic liver function tests and normal biliary system on imaging, thus raising the possibility of infiltrative liver disease. A transjugular liver biopsy revealed histoplasmosis. The patients improved after treatment. It is a common practice to start antitubercular treatment in patients with pyrexia of unknown origin, which should not be practiced in the current era. Every effort should be made for a correct diagnosis. The case highlights the importance of liver biopsy in cases with no definite diagnosis and also that hepatic histoplasmosis could mimic cirrhosis.
In:
volume:12
In:
number:02
In:
year:2022
In:
pages:121-123
In:
Journal of Gastrointestinal Infections, Noida : Thieme Medical and Scientific Publishers, [2012?]-, 12, Heft 02 (2022), 121-123, 2583-844X
Language:
English
DOI:
10.1055/s-0042-1759744
URN:
urn:nbn:de:101:1-2024030112002986673741
URL:
https://doi.org/10.1055/s-0042-1759744
URL:
https://nbn-resolving.org/urn:nbn:de:101:1-2024030112002986673741
URL:
https://d-nb.info/1322252823/34
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