Disseminated Histoplasmosis: An Unusual Cause of Bowel Obstruction. WMJ 2022 Dec;121(4):e66-e70
Date
01/14/2023Pubmed ID
36637849Scopus ID
2-s2.0-85146363886 (requires institutional sign-in at Scopus site) 1 CitationAbstract
INTRODUCTION: Although histoplasmosis is an extremely rare cause of bowel obstruction, this case describes disseminated gastrointestinal histoplasmosis as it progresses from acute colitis to subacute recurrent bowel obstructions.
CASE PRESENTATION: A White man in his early 80s with history of multiple myeloma presented to the emergency department with lightheadedness and diarrhea. Following a diagnostic journey for unspecified colitis, urine antigen testing and endoscopic biopsies led to the diagnosis. During the initial 12 weeks of antifungal treatment, the disease process transitioned from an acute inflammatory syndrome into a recurrent bowel obstruction.
DISCUSSION/CONCLUSIONS: Only one other case of histoplasmosis causing recurrent bowel obstruction has been reported; however, that patient succumbed to the disease without surgical intervention. No clear guidelines exist of how to manage bowel obstructions from rare infectious sources, such as histoplasmosis, but close surveillance, multidisciplinary care, and an understanding of gastrointestinal pathology can guide clinicians when encountering atypical etiologies of bowel obstruction.
Author List
Peterson KJ, Rose MR, Davitt C, Ludwig KAAuthor
Kirk A. Ludwig MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
BiopsyColitis
Histoplasmosis
Humans
Intestinal Obstruction
Male
