Fibrosing mediastinitis: a rare complication of histoplasmosis
We report a case of a 29-year-old man who presented with intermittent haemoptysis for about 18 months. Previously, his symptoms had been diagnosed as musculoskeletal pain and later as pneumonia. CT found a venous infarct in the right lung in addition to extensive lymphadenopathy in the mediastinum a...
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| Publicado en: | BMJ Case Rep |
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BMJ Publishing Group
2015
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| Acceso en liña: | https://ncbi.nlm.nih.gov/pmc/articles/PMC4654015/ https://ncbi.nlm.nih.gov/pubmed/26538131 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1136/bcr-2015-212774 |
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pubmed-46540152017-11-04 Fibrosing mediastinitis: a rare complication of histoplasmosis Patel, Milesh Lu, Frederic Hannaway, Maria Hochman, Katherine BMJ Case Rep Article We report a case of a 29-year-old man who presented with intermittent haemoptysis for about 18 months. Previously, his symptoms had been diagnosed as musculoskeletal pain and later as pneumonia. CT found a venous infarct in the right lung in addition to extensive lymphadenopathy in the mediastinum and pulmonary hila, with associated calcifications almost completely occluding the superior vena cava and azygos vein. Further questioning revealed that the patient had once worked on an organic farm in Colorado. Subsequent work up was positive for histoplasmosis yeast antibodies. The patient was diagnosed with fibrosing mediastinitis (FM) and started on itraconazole for 3 months. We note that FM is a rare complication of histoplasmosis and can present as chronic haemoptysis. Travel history is an important aspect of the clinical evaluation. Antifungal agents have shown some efficacy in treating histoplasmosis-related FM. BMJ Publishing Group 2015-11-04 /pmc/articles/PMC4654015/ /pubmed/26538131 http://dx.doi.org/10.1136/bcr-2015-212774 Text en 2015 BMJ Publishing Group Ltd |
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PubMed Central |
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Inglês |
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Article Patel, Milesh Lu, Frederic Hannaway, Maria Hochman, Katherine Fibrosing mediastinitis: a rare complication of histoplasmosis |
| description |
We report a case of a 29-year-old man who presented with intermittent haemoptysis for about 18 months. Previously, his symptoms had been diagnosed as musculoskeletal pain and later as pneumonia. CT found a venous infarct in the right lung in addition to extensive lymphadenopathy in the mediastinum and pulmonary hila, with associated calcifications almost completely occluding the superior vena cava and azygos vein. Further questioning revealed that the patient had once worked on an organic farm in Colorado. Subsequent work up was positive for histoplasmosis yeast antibodies. The patient was diagnosed with fibrosing mediastinitis (FM) and started on itraconazole for 3 months. We note that FM is a rare complication of histoplasmosis and can present as chronic haemoptysis. Travel history is an important aspect of the clinical evaluation. Antifungal agents have shown some efficacy in treating histoplasmosis-related FM. |
| author |
Patel, Milesh Lu, Frederic Hannaway, Maria Hochman, Katherine |
| author_facet |
Patel, Milesh Lu, Frederic Hannaway, Maria Hochman, Katherine |
| author_sort |
Patel, Milesh |
| title |
Fibrosing mediastinitis: a rare complication of histoplasmosis |
| title_short |
Fibrosing mediastinitis: a rare complication of histoplasmosis |
| title_full |
Fibrosing mediastinitis: a rare complication of histoplasmosis |
| title_fullStr |
Fibrosing mediastinitis: a rare complication of histoplasmosis |
| title_full_unstemmed |
Fibrosing mediastinitis: a rare complication of histoplasmosis |
| title_sort |
fibrosing mediastinitis: a rare complication of histoplasmosis |
| publisher |
BMJ Publishing Group |
| container_title |
BMJ Case Rep |
| publishDate |
2015 |
| url |
https://ncbi.nlm.nih.gov/pmc/articles/PMC4654015/ https://ncbi.nlm.nih.gov/pubmed/26538131 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1136/bcr-2015-212774 |
| _version_ |
1810463801711001600 |