Disseminated histoplasmosis in an immunocompetent haweli dweller: A diagnosis and follow-up by endoscopic ultrasound-guided fine-needle aspiration

Disseminated histoplasmosis in an immunocompetent haweli dweller: A diagnosis and follow-up by endoscopic ultrasound-guided fine-needle aspiration

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Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is nowadays widespread minimally invasive procedure for diagnosing a large number of benign as well as malignant lesions.We report a case of a 62-year-old immunocompetent elderly male, who presented with high-grade fever, hepatosplenomegaly and mediastinal and intra-abdominal lymph nodes.He was residing in an old haweli with bats infestation.EUS-FNA of the read more subcarinal and the preaortic lymph node clinched the diagnosis.

A rapid on-site evaluation of the cytology material revealed organisms conforming to the morphology of Histoplasma capsulatum.The patient was immediately started on amphotericin B and itraconazole here and responded well.In this case, we found the role of EUS-FNA not only in diagnosis, but also in the follow-up of the patient.