Histoplasma capsulatum var. capsulatum occurring in an HIV-positive Ghanaian immigrant to Italy. Identification of H. capsulatum DNA by PCR from paraffin sample

APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica
F RivasiA Mazzoni

Abstract

Histoplasmosis, which is highly endemic in the United States, is rare in Europe, usually imported but sometimes autochthonous. In Africa, histoplasmosis capsulati coexists with "African histoplasmosis", a characteristic skin infection caused by H. capsulatum var. duboisii. Histoplamosis due to H. capsulatum is one of the 12 secondary infections listed in the surveillance definitions of AIDS. We report the case of a 36-year-old black man with acquired immunodeficiency syndrome (AIDS) who was living in Italy but originally came from Ghana. Histoplasmosis was disseminated with fever and cutaneous manifestations. The diagnosis was demonstrated morphologically based on the presence of yeast, observed by light microscopy, in skin lesions and by identification of H. capsulatum var. capsulatum DNA by nested PCR from a paraffin sample. No clinical reports of histoplamosis capsulati in Ghana have been published until now. The present case stresses the role of immigration of subjects from outside Europe who have been infected in their native country.

Citations

Mar 24, 2009·Diagnostic Microbiology and Infectious Disease·Cyril PellatonPhilippe M Hauser
Jan 8, 2008·Médecine et maladies infectieuses·D Débat ZoguérehF Granier
Jun 30, 2006·Joint, Bone, Spine : Revue Du Rhumatisme·Saoussan Mahfoud FilaliNajia Hajjaj Hassouni
Feb 10, 2006·Diagnostic Microbiology and Infectious Disease·Yi-Wei TangL Joseph Wheat
Aug 15, 2006·Travel Medicine and Infectious Disease·P J de VriesL M Kortbeek
Dec 17, 2008·Enfermedades infecciosas y microbiología clínica·José Luis Pérez ArellanoFernando Dronda Núñez

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