An Unusual Presentation of Disseminated Histoplasmosis: Case Report and Review of Pediatric Immunocompetent XXXX from India.

@entity1 @entity3329 @entity2379 @entity828 @entity1398 @entity158 @entity3219 @entity221
UNASSIGNED: Histoplasmosis is a progressive disease caused by dimorphic intracellular fungi and can prove fatal. Usually, it is present in immunocompromised individuals and immunocompetent individuals in the endemic zones. We report an unusual presentation of progressive disseminated @entity3219 . The @entity1 in the present case report was immunocompetent @entity1 and had @entity221 , @entity158 , gradual weight loss, @entity3329 and @entity828 . @entity3219 ( @entity3219 ) was diagnosed on microscopic examination and fungal culture of bone marrow, blood, skin biopsy and lymph node aspirate. The @entity1 died on seventh day of @entity2379 . In the absence of predisposing factors and classical clinical presentation of @entity1398 , lung, adrenal and oropharyngeal lesions, the disease posed a diagnostic challenge. Progressive disseminated @entity3219 in @entity1 can be fatal despite timely diagnosis and therapy. In India, disseminated @entity3219 is seen in immunocompetent hosts. All the pediatrics immunocompetent cases from India are also reviewed.
