Acalculous Cholecystitis caused by Histoplasma capsulatum in a severely immunosuppressed HIV-infected patient

Departamento de Enfermedades Infecciosas, Hospital Nacional Cayetano Heredia, Lima, Peru.
The Journal of Infection in Developing Countries (Impact Factor: 1.14). 03/2011; 5(3):235-8. DOI: 10.3855/jidc.1547
Source: PubMed


Billiary tract involvement in the course of disseminated histoplasmosis has been rarely reported. Here we present a severely immunosuppressed HIV-infected patient who presented with symptomatic acalculous cholecystitis caused by Histoplasma capsulatum.

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    ABSTRACT: Although acalculous cholecystitis typically occurs in critically ill individuals, it has been described in patients with HIV infection. Recognition of AIDS-related acalculous cholecystitis is important for gastroenterologists to provide optimal therapy, since many different opportunistic pathogens may be involved. Histoplasma capsulatum causes a wide spectrum of infectious sequelae, including disseminated histoplasmosis in patients with HIV infection, but biliary tract involvement has been described infrequently. We present a case of acalculous cholecystitis caused by H. capsulatum in a patient with HIV infection.
    Full-text · Article · Jul 2015