Journal of Cytology
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CASE REPORT
Year : 2015  |  Volume : 32  |  Issue : 2  |  Page : 142-144

Disseminated histoplasmosis in an immunocompetent haweli dweller: A diagnosis and follow-up by endoscopic ultrasound-guided fine-needle aspiration


1 Department of Cytopathology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India
2 Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India
3 Department of Medicine, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India

Correspondence Address:
Ruth Shifa Ecka
Department of Cytopathology, Jaswant Rai Speciality Hospital, Saket, Meerut - 250 001, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.160597

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Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is nowadays widespread minimally invasive procedure for diagnosing a large number of benign as well as malignant lesions. We report a case of a 62-year-old immunocompetent elderly male, who presented with high-grade fever, hepatosplenomegaly and mediastinal and intra-abdominal lymph nodes. He was residing in an old haweli with bats infestation. EUS-FNA of the subcarinal and the preaortic lymph node clinched the diagnosis. A rapid on-site evaluation of the cytology material revealed organisms conforming to the morphology of Histoplasma capsulatum. The patient was immediately started on amphotericin B and itraconazole and responded well. In this case, we found the role of EUS-FNA not only in diagnosis, but also in the follow-up of the patient.


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