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Disseminated Histoplasmosis with Skin Lesions and Osteomyelitis in a Patient from the Philippines

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  • 1 Section of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
  • | 2 Department of Surgery (Transplant), Yale School of Medicine, New Haven, Connecticut.
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Histoplasmosis, caused by the dimorphic fungus Histoplasma capsulatum, is a disease of protean manifestations and of global distribution. Although increasingly reported in Asia, there are few reports from the Philippines. Here, we describe a case of microbiologically diagnosed histoplasmosis, probably acquired from the Philippines, in a returning traveler who presented with a right foot wound and papular rash. The final diagnosis was disseminated histoplasmosis with cutaneous and bone involvement, both unusual manifestations of the disease.

Author Notes

* Address correspondence to Maricar F. Malinis, Section of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, P.O. Box 208022, New Haven, CT 06520-8022. E-mail: maricar.malinis@yale.edu

Authors' addresses: Marwan M. Azar and Maricar F. Malinis, Section of Infectious Diseases, Department of Internal Medicine, Yale University, New Haven, CT, E-mails: marwan.azar@yale.edu and maricar.malinis@yale.edu.

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