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Revista médica del Hospital General de México

On-line version ISSN 2524-177XPrint version ISSN 0185-1063


JIMENEZ-RIVERA, Elisa et al. Intestinal histoplasmosis in immunocompetent patient: An unusual cause of massive small intestine bleeding. Rev. med. Hosp. Gen. Méx. [online]. 2021, vol.84, n.3, pp.123-128.  Epub Sep 06, 2021. ISSN 2524-177X.

Small bowel bleeding (SBB) accounts for 5-10% of patients with gastrointestinal bleeding and its association is unusual in patients with histoplasmosis. The incidence of gastrointestinal histoplasmosis is unknown since only 3-12% present symptoms, predominantly in immunocompromised patients. However, in immunocompetent hosts, it is reported only in 0.05% of cases. A clinical case of an immunocompetent patient with massive SBB, Grade IV hypovolemic shock associated with systemic histoplasmosis and treated with intestinal resection and amphotericin B is hereby discussed.

Keywords : Intestinal histoplasmosis; Disseminated histoplasmosis; Small bowel bleeding.

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