非流行地区组织胞浆菌病所致胃出口梗阻。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI:10.14309/crj.0000000000001612

Katherine Shepherd, George Obeng, Justin T Kupec, William Hsueh

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引用次数: 0

摘要

荚膜组织胞浆菌病是一种二态真菌，通常被认为是密西西比和俄亥俄河谷地区的地方性疾病。组织胞浆菌病在免疫功能正常的患者中可表现为无症状，或在免疫功能低下的患者中表现为播散性感染。在非流行地区诊断组织胞浆菌病可能具有挑战性，特别是在主要表现为胃肠道症状的患者中。我们描述了一个免疫功能低下的29岁男子的胃出口梗阻的情况下，播散性组织胞浆菌病引起的区域通常不被认为是地方性的组织胞浆菌病。

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Gastric Outlet Obstruction Caused by Histoplasmosis in a Nonendemic Region.

Histoplasmosis capsulatum is a dimorphic fungus commonly considered endemic in the Mississippi and Ohio River Valley regions. Histoplasmosis can present as asymptomatic in immunocompetent patients or present as a disseminated infection in immunocompromised patients. Diagnosing histoplasmosis can be challenging in nonendemic areas, especially in patients presenting primarily with gastrointestinal symptoms. We describe a case of an immunocompromised 29-year-old man presenting with gastric outlet obstruction caused by disseminated histoplasmosis in a region not commonly considered endemic to Histoplasmosis capsulatum.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.