Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : January | Volume : 11 | Issue : 1 | Page : ED01 - ED02

Primary Cutaneous Histoplasmosis Masquerading as Lepromatous Leprosy

Jenna Blah Bhattacharya, Poonam Rani, Radhika Aggarwal, Seema Kaushal

1. Senior Resident, Department of Pathology, Maulana Azad Medical College, New Delhi, India. 2. Senior Resident, Department of Pathology, Maulana Azad Medical College, New Delhi, India. 3. Junior Resident, Department of Pathology, Maulana Azad Medical College, New Delhi, India. 4. Associate Professor, Department of Pathology, Maulana Azad Medical College, New Delhi, India.

Correspondence Address :
Dr. Jenna Blah Bhattacharya,
House No. 2102, Tower-C, Amrapalli Eden Park, Block-F, Sector-50, Noida-201301, Uttar Pradesh, India.
E-mail: jennamamc@gmail.com

Abstract

Histoplasmosis is a genus of dimorphic fungi having various varieties of which the commonest one causing infection is Histoplasma capsulatum known to cause histoplasmosis. It has a varied disease spectrum ranging from an acute infection to chronic disease especially in lungs, disseminated disease and cutaneous disorder. Histoplasma capsulatum usually causes subclinical infection and serious infections only manifest in immunocompromised patients. Frank cases of infection are seen in pulmonary histoplasmosis. The spores of these organisms are seen to be strongly associated with droppings of birds and bats. A combination of these droppings and some soil types provide for an excellent environment for the proliferation of spores. Pulmonary histoplasmosis and disseminated disease are very common in AIDS patients and are a great cause of morbidity and mortality in these patients. Primary cutaneous histoplasmosis is very rare and occurs due to penetrating injuries. Once diagnosis is made, the lesions respond very well to oral itraconazole, fluconazole or amphotericicn B. We report a rare case of Cutaneous Histoplasmosis (CHP) in a 70-year-old male with complaints of multiple nodules all over his body in a HIV seronegative and otherwise immunocompetent patient.

Keywords

Nodulo-ulcerative lesions, Lepromatous leprosy, Mycotic infection

How to cite this article :

Jenna Blah Bhattacharya, Poonam Rani, Radhika Aggarwal, Seema Kaushal. PRIMARY CUTANEOUS HISTOPLASMOSIS MASQUERADING AS LEPROMATOUS LEPROSY. Journal of Clinical and Diagnostic Research [serial online] 2017 January [cited: 2017 Mar 24 ]; 11:ED01-ED02. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=January&volume=11&issue=1&page=ED01-ED02&id=9145

DOI and Others

DOI: 10.7860/JCDR/2017/19676.9145

Date of Submission: Feb 21, 2016
Date of Peer Review: Apr 04, 2016
Date of Acceptance: Oct 17, 2016
Date of Publishing: Jan 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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