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Gastrointestinal histoplasmosis in a patient after autologous stem cell transplant for multiple myeloma
Author(s) -
Mohan Meera,
Fogel Bradley,
Eluvathingal Thomas,
Schinke Carolina,
Kothari Atul
Publication year - 2016
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12619
Subject(s) - medicine , multiple myeloma , itraconazole , histoplasmosis , radiology , chemotherapy , amphotericin b , positron emission tomography , antifungal , surgery , dermatology
A 59‐year‐old patient with multiple myeloma on maintenance chemotherapy presented with fever, weight loss, and night sweats. An F‐18 fluorodeoxyglucose ( FDG ) positron emission tomography ( PET ) computed tomography ( CT ) showed intra‐abdominal lymphadenopathy with a mesenteric mass that led to further workup and diagnosis of histoplamosis. The patient was treated with amphotericin B and subsequently switched to itraconazole. This exemplifies the usefulness of FDG PET CT in diagnosis of infectious complications.