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Postpartum histoplasmosis in an HIV-negative woman: a case report and phylogenetic characterization by internal transcribed spacer region analysis.


ABSTRACT: The present report describes the first case of postpartum disseminated histoplasmosis in a 24-year-old HIV-negative woman. On the tenth day after vaginal delivery, the patient presented with dyspnea, fever, hypotension, tachycardia, and painful hepatomegaly. Yeast-like Histoplasma capsulatum features were isolated in the buffy coat. The phylogenetic analysis demonstrated that the fungal isolate was similar to other H. capsulatum isolates identified in HIV patients from Ceará and Latin America. Thus, histoplasmosis development in individuals with transitory immunosuppression or during the period of immunological recovery should be carefully examined.

SUBMITTER: Damasceno LS 

PROVIDER: S-EPMC7083345 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Postpartum histoplasmosis in an HIV-negative woman: a case report and phylogenetic characterization by internal transcribed spacer region analysis.

Damasceno Lisandra Serra LS   Almeida Júnior Antônio Mauro Barros AMB   Aguiar Bárbara de Oliveira BO   Muniz Mauro de Medeiros MM   Almeida Marcos de Abreu MA   Zancopé-Oliveira Rosely Maria RM   Leitão Terezinha do Menino Jesus Silva TDMJS  

Revista da Sociedade Brasileira de Medicina Tropical 20200127


The present report describes the first case of postpartum disseminated histoplasmosis in a 24-year-old HIV-negative woman. On the tenth day after vaginal delivery, the patient presented with dyspnea, fever, hypotension, tachycardia, and painful hepatomegaly. Yeast-like Histoplasma capsulatum features were isolated in the buffy coat. The phylogenetic analysis demonstrated that the fungal isolate was similar to other H. capsulatum isolates identified in HIV patients from Ceará and Latin America. T  ...[more]

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