istoplasma capsulatum is a well-known fungal pathogen that is present in the soil and endemic to the Ohio and Mississippi River valleys. Exposure to humans comes from inhalation of airborne spores, and infection usually results in a self-limited pulmonary syndrome. 1 Disseminated histoplasmosis is a
Disseminated histoplasmosis after orthotopic liver transplantation
β Scribed by Shallot, J
- Book ID
- 123112652
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 54 KB
- Volume
- 3
- Category
- Article
- ISSN
- 1527-6465
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A 61-yr-old liver transplant recipient presented with abdominal cramping and nonbloody diarrhea resulting in orthostasis. Multiple ulcerations throughout the colon were seen during endoscopy, and biopsies from the ulcer edges revealed histoplasmosis. Treatment with a course of itraconazole improved
An analysis was made of the causes of death in 22 of 50 patients receiving consecutive orthotopic liver transplants. A close look at the fatal course of these patients revealed three major patterns: surgical complications (27%), pathology of the hepatic artery anastomosis (23%), and cholestasis (32%