Abstract

SOTO ARQUINIGO, Leslie et al. Immunosupressed patient with fever and radiological images with miliary pattern: a case report. Rev Med Hered [online]. 2005, vol.16, n.3, pp.218-223. ISSN 1018-130X.

We present the case of a patient proceeding from the jungle of Peru with diagnosis of infection for the Human Immunodeficiency Virus (HIV) with respiratory symptoms, fever and a chest X-ray with milliary pattern. Because Tuberculosis is a prevalent disease in our country and the most frequent in patients with HIV, he received antituberculous treatment. Nevertheless, the historical information of having been in endemic zone of mycosis in some moment of his life, associated with laboratory examinations, allowed the diagnosis of Disseminated histoplasmosis, as product of the reactivation of a latent infection that appears when the level of immunity gets depressed like in infected patients by the HIV. The history of diseases, trips and previous residences is a fundamental information to establish a good approximation diagnosis in patients with HIV.

Keywords : Disseminated histoplasmosis; HIV; fever; milliary pattern.

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