Progressive disseminated histoplasmosis in an immunocompetent patient misdiagnosed as disseminated tuberculosis

摘要

Progressive disseminated histoplasmosis is common in immunocompromised patients, but in an immunocompetent individualinfection is either asymptomatic or mild and self-limiting. Diagnosis is through clinical suspicion; fungal culture remains the goldstandard diagnostic test, which is often negative in less severe cases. We report the case of a 48-year-old immunocompetent malepatient with progressive disseminated histoplasmosis with unilateral adrenal involvement.