Vázquez-Minero JC, Díaz-Álvarez D, Armas-Zárate FJ, Castrillo-Hernández G

Language: Spanish
References: 9
Page: 128-131
PDF size: 983.27 Kb.

ABSTRACT

Histoplasmosis is the most common mycosis in the world, in Mexico it is found throughout the national territory. It can have acute and chronic presentations. This is the case of a 50-year-old woman with a respiratory clinical picture of two months of evolution, who presented with a pericardial effusion with hemodynamic compromise, was scheduled for surgery finding purulent pericarditis, draining peurulent effusion and performing partial pericardiectomy, with cultures negative and positive urine and serum studies for H. capsulatum. He presented adequate evolution. It should be borne in mind that a rare cause of culture-negative purulent pericarditis may be histoplasmosis, especially in long-standing clinical conditions, such as residual forms of histoplasmosis.

REFERENCES

1. Cano MV, Hajjeh RA. The epidemiology of histoplasmosis: a review. Semin Respir lnfect. 2001;16(2):109-118. Available in: https://doi.org/10.1053/srin.2001.24241

2. Kurowski R, Ostapchuck M. Overview of histoplasmosis. Am Fam Physician. 2002;66(12):2247-2252.

3. Larrabee WF, Ajello L, Kaufman L. An epidemic of histoplasmosis on the isthmus of Panamá. Am J Trop Med Hyg. 1978;27(2 Pt 1):281-285. Available in: https://doi.org/10.4269/ajtmh.1978.27.281

4. Contreras PC, Shibayama HH, Velasco CO. Histoplasmosis. En: Valdespino GJL, Velasco CO, Escobar GA, del Río ZA, Ibáñez BS, Magos LC, editores. Enfermedades tropicales en México. Diagnóstico, tratamiento y distribución geográfica. México: Instituto Nacional de Diagnóstico y Referencia Epidemiológicos; 1994. p. 233-241.

5. Tobón AM. Protocolo de estudio y manejo de la histoplasmosis. Infectio. 2012;16(Supl 3):126-128. Disponible en: https://doi.org/10.1016/S0123-9392(12)70039-5

6. Vázquez TO, Campos RT, Martínez BI. Histoplasmosis. Abordaje terapéutico. Acta Pediatr Mex. 2004;25(6):349-353.

7. Dajer-Fadel WL, Ramírez-Castañeda S, Flores-García M, Flores-Calderón O, Mejía-Melgar EM, Tortolero-Sánchez CR, et al. Pericarditis purulenta, un caso exitoso. Rev Med Hosp Gral Méx. 2013;76(4):195-199.

8. Vargas CA, Gómez AE, Jaime UA, Salgado AME. Pericarditis purulenta: presentación de un caso y diagnósticos diferenciales. Arch Card Mex. 2006;76(1):83-89.

9. Wheat LJ, Batteiger BE, Sathapatayavongs B. Histoplasma capsulatum infections of the central nervous system: a clinical review. Medicine (Baltimore). 1990;69(4):244-260. Available in: https://doi.org/10.1097/00005792-199007000-00006