Open AccessDisseminated histoplasmosis diagnosed on routine outpatient endoscopy in a renal transplant patient
Author(s) -
Sylvester Luu,
Brian C. Benson,
Jonathan W. Schwake
Publication year - 2018
Publication title -
case reports in internal medicine
Language(s) - English
Resource type - Journals
eISSN - 2332-7251
pISSN - 2332-7243
DOI - 10.5430/crim.v5n3p1
Subject(s) - medicine , colonoscopy , endoscopy , immunosuppression , histoplasmosis , gastroenterology , lamina propria , outpatient clinic , anemia , surgery , pathology , colorectal cancer , cancer , epithelium
A 58-year-old female with prior renal transplant on immunosuppression underwent upper endoscopy and colonoscopy to evaluate iron deficiency anemia. Her upper endoscopy appeared normal and her colonoscopy showed mild colitis in her transverse colon. Biopsies of her duodenum, taken to evaluate for celiac disease, as well as biopsies of the colitis showed intracellular yeast within histiocytes in the lamina propria consistent with disseminated histoplasmosis. This case describes a renal transplant patient with disseminated gastrointestinal histoplasmosis (GIH), which is rarely diagnosed on routine outpatient endoscopy.