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A Case Report of a Mediastinal Granuloma Related to Histoplasmosis with Subspecies Superinfection Resulting in Abscess and Subsequent Pericarditis in a Pediatric Patient.
Kans J Med
November 2024
Department of Pediatrics, The University of Kansas School of Medicine-Wichita, Wichita, Kansas.
Oesophagopericardial fistula from mediastinal histoplasmosis presenting as purulent pericarditis with cardiac tamponade.
BMJ Case Rep
October 2024
Interventional Cardiology, Northwestern Memorial Hospital, Chicago, Illinois, USA.
Article Synopsis
- * Tests revealed infected fluid with multiple bacteria, leading to antibiotics being given while a recurring fluid issue was managed with a drain and fibrinolytic therapy.
- * Eventually, he was diagnosed with an esophageal perforation linked to the mass, indicating an unusual fistula, and was treated for histoplasmosis before being discharged with a feeding tube and medication.
Respiratory Compromise Related to Primary Histoplasmosis Infection in Two Pediatric Patients.
J Med Cases
September 2024
Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Primary infection related to the fungus, histoplasmosis, is generally asymptomatic in immunocompetent hosts. Calcified granulomas may be noted incidentally on radiologic imaging such as chest radiographs or computed tomography imaging. However, even in immunocompetent hosts, these primary infections occasionally result in end-organ involvement including respiratory compromise.
View Article and Find Full Text PDFA Retrospective Evaluation of the Treatment Effects of Rituximab in Patients with Progressive and Symptomatic Fibrosing Mediastinitis.
Ann Am Thorac Soc
November 2024
Department of Immunology.
Fibrosing mediastinitis (FM) is an uncommon fibroinflammatory condition without established or effective medical therapies. Infiltrating B lymphocytes are commonly present, and progressive fibrosis compromises mediastinal structures, including blood vessels and airways, resulting in significant morbidity and mortality. To evaluate the benefits and side effects of rituximab in patients with progressive and symptomatic FM.
View Article and Find Full Text PDFEndobronchial Infection and Bacterial Lymphadenitis by Leading to Airway Perforation and a Bronchopleural Fistula.
Case Rep Pulmonol
July 2024
Department of Internal Medicine Rocky Mountain Pulmonary and Critical Care, 3555 Lutheran Pkwy, Suite 150, Wheat Ridge, Colorado 80033, USA.
Necrotizing bronchial infection with severe infectious lymphadenitis is infrequently encountered and most commonly ascribed to , , and species. We present a unique cause of severe airway destruction with lymphadenitis and bronchopleural fistula formation by the bacterium . A 24-year-old man presented with acute symptoms of vomiting, fever, and shoulder pain.
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