       Document 0054
 DOCN  M95B0054
 TI    [Generalized histoplasmosis due to endogenous reactivation of a latent
       infection in an HIV-seronegative man]
 DT    9511
 AU    Koot RA; van Uum SH; Naber AH; Meis JF; Afd. Pathologie, Academisch
       Ziekenhuis, Nijmegen.
 SO    Ned Tijdschr Geneeskd. 1995 Jul 15;139(28):1454-6. Unique Identifier :
       AIDSLINE MED/95349714
 AB    A 63-year-old, Dutch, HIV-seronegative man presented with anal pain and
       itch of 6 months' duration, a perianal ulcer and a solitary colon ulcer.
       Crohn's disease was suspected; the patient was treated with
       corticosteroids, but later died. Autopsy revealed disseminated
       histoplasmosis, a fungal disease rare in the Netherlands. The patient
       had visited Honduras. This case report illustrates that disseminated
       histoplasmosis may mimic Crohn's disease leading to a delay in the
       diagnosis.
 DE    Case Report  Crohn Disease/*DIAGNOSIS  Diagnosis, Differential  English
       Abstract  Fatal Outcome  Histoplasmosis/*DIAGNOSIS/PATHOLOGY  Human
       Male  Middle Age  Proctitis/*MICROBIOLOGY  Ulcer/MICROBIOLOGY/PATHOLOGY
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

