Esophageal Histoplasmosis Associated with Disseminated Tuberculosis in Acquired Immunodeficiency Syndrome

Rosamar Eulira Fontes Rezende Departments of Medicine, Pathology, and Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

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Mariângela Ottoboni Brunaldi Departments of Medicine, Pathology, and Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

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Milena Santana Girão Departments of Medicine, Pathology, and Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

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Sérgio Zucoloto Departments of Medicine, Pathology, and Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

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Sérgio Britto Garcia Departments of Medicine, Pathology, and Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

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Alcyone Artioli Machado Departments of Medicine, Pathology, and Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

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José Luiz Pimenta Módena Departments of Medicine, Pathology, and Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

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Bacterial and fungal infections are common in acquired immunodeficiency syndrome (AIDS). Histoplasmosis is a common fungal disease in severely immunocompromised patients infected with human immunodeficiency virus (HIV) in endemic areas. In this population the most frequent form of presentation of histoplasmosis is disseminated, with the clinical manifestations being similar to those of disseminated tuberculosis. Esophageal histoplasmosis and the association of histoplasmosis with tuberculosis are infrequent. We report here a rare case of esophageal histoplasmosis associated with disseminated tuberculosis in AIDS.

Author Notes

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