Silent Fungus, Sudden Crisis: Gastrointestinal Bleeding due to Disseminated Histoplasmosis.

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2026-04-01 DOI:10.51821/89.2.15081

S D'Haens, G De Hertogh, L Wauters

引用次数: 0

Abstract

Histoplasmosis is typically a self-limiting infection in immunocompetent individuals, but may present as a life-threatening disseminated disease in immunocompromised hosts. Gastrointestinal (GI) symptoms, radiological abnormalities and endoscopic findings are non-specific. We report a case of disseminated histoplasmosis in a kidney transplant recipient presenting with hemorrhagic shock due to severe colonic ulcerations. This case highlights the importance of maintaining a high index of suspicion for GI histoplasmosis in patients originating from endemic regions and underscores the need for careful endoscopic evaluation with adequate tissue sampling.

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无声真菌，突发危机：播散性组织胞浆菌病引起的胃肠道出血。

组织胞浆菌病在免疫正常的个体中通常是一种自限性感染，但在免疫功能低下的宿主中可能是一种危及生命的播散性疾病。胃肠道（GI）症状、放射学异常和内窥镜检查结果是非特异性的。我们报告一例播散性组织胞浆菌病在肾移植受者表现出失血性休克由于严重的结肠溃疡。本病例强调了对来自流行地区的胃肠道组织浆菌病患者保持高度怀疑的重要性，并强调了在充分的组织取样的情况下进行仔细的内镜评估的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.