Clinical Review
Disseminated Histoplasmosis to the Brain
Case in Point
Fed Pract. 2009 May;26(5):15
Author(s):
Abu Salah Tm
Author and Disclosure Information
Tareq M. Abu Salah, MD
Dr. Abu Salah is a hospitalist in the department of medicine at the Colmery O'Neil VA Medical Center, Topeka, KS; an assistant professor of medicine in the department of internal medicine at the University of Kansas Medical Center, Kansas City; and an assistant professor of psychiatry in the department of psychiatry at the University of Missouri School of Medicine, Kansas City.
An immunocompetent patient living in an endemic area presented with headache, weakness, gait instability, and weight loss. Brain imaging showed enhancing lesions, but fungal infection was not initially suspected. This author reminds clinicians to keep histoplasmosis in the differential diagnosis when enhacing lesions are identified.