Disseminated Histoplasmosis presenting as oropharyngeal mass lesion

Publication date: Available online 27 April 2019Source: Medical Mycology Case ReportsAuthor(s): Tauhidul Alam Choudhury, Ronica Baruah, Naushad Shah, Brajendra Lahkar, Kuddush Ahmed, Bhaskar Jyoti SarmahAbstractA 62 year old man from Silchar in North East India presented with complaints of painful swallowing, hoarseness, fever, anorexia and weight loss. Oropharyngeal examination revealed reddish ulcero-nodular lesion involving left tonsillar area and base of tongue which was clinically suspicious of malignancy. Radiological examination revealed involvement of bilateral adrenals by a mass. The biopsy of the oropharyngeal lesion showed many fungal spores morphologically favoring Histoplasmosis. Treatment with Amphotericin B followed by Itraconazole resulted recovery of lesions.
Source: Medical Mycology Case Reports - Category: Biology Source Type: research