Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 14, Number 7, July 2023, pages 260-264

Disseminated Histoplasmosis in a Patient With Acquired Immunodeficiency Syndrome in a Non-Endemic Region (California)

Figures

Figure 1.
Figure 1. Posterior-anterior chest radiograph demonstrating diffuse bilateral reticulonodular opacifications (red arrows) and elevated left hemidiaphragm (blue arrow).
Figure 2.
Figure 2. Axial view of a computed tomography of the chest with intravenous contrast demonstrating diffuse reticulonodular opacities (red arrows), ground glass opacities, and air bronchograms (blue arrows).
Figure 3.
Figure 3. Flow diagram of diagnostic workup for disseminated histoplasmosis.

Table

Table 1. Initial Laboratory Findings, Demonstrating Anemia, Hyponatremia, Hypokalemia, and Hypochloremia
 
Reference valuesMeasured values
White blood cell (cells/µL)4,300 - 11,1009,900
Hemoglobin (g/dL)11.5 - 15.58.600
Hematocrit (%)36 - 4626
Platelet (cells/µL)120,000 - 360,000186,000
Neutrophils (%)38 - 7586
Lymphocytes (%)20 - 481
Bands (%)< 310
Sodium (mEq/L)135 - 148124
Potassium (mEq/L)3.5 - 5.53.3
Chloride (mEq/L)98 - 11090
Bicarbonate (mmol/L)24 - 3423
BUN (mg/dL)8 - 2010
Creatinine (mg/dL)0.5 - 1.50.6
Calcium (mg/dL)8.4 - 10.29.5
SARS-CoV-2 antigenNegativeNegative