Histoplasmosis in HIV-Infected Persons, Yaoundé, Cameroon

摘要

To the Editor: In HIV-infected persons in Cameroon(Central Africa), histoplasmosis is still misdiagnosed astuberculosis because of clinical similarities (1,2). Thesepatients are automatically given presumptive antituberculoustherapy, although tuberculosis is not confirmed. Thepatients subsequently die of probable disseminated histoplasmosis(DH), and the fungal infection might finally bedetected in postmortem tissue samples (3). In this context,3 cases of DH were detected in HIV-infected patients withina 1-year period (2007–2008) in Yaoundé, Cameroon. Weinitiated this study to investigate the occurrence of histoplasmosisin HIV-infected patients in 4 medical centers forAIDS treatment in Yaoundé from December 2008 throughDecember 2011.