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Clinics and Practice
Volume 9
Issue 3
10.4081/cp.2019.1141
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

An Unusual Infection in an Immunocompetent Male from a Non-Endemic Area: Lessons from a Vacation

by
Ritesh Neupane
1,
Munish Sharma
2,*,
Divakar Sharma
3,
Rajeev Thachil
3,
Mahesh Krishnamurthy
1 and
Gerald Lowman
3
1
Department of Internal Medicine, Easton Hospital, PA, USA
2
Department of Pulmonary Medicine, Corpus Christi Medical Center, TX, USA
3
Department of Pulmonary and Critical Care, Easton Hospital, PA, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2019, 9(3), 1141; https://doi.org/10.4081/cp.2019.1141
Submission received: 14 February 2019 / Revised: 2 April 2019 / Accepted: 21 May 2019 / Published: 9 August 2019

Abstract

Primary pulmonary histoplasmosis is found worldwide, and is particularly endemic in some areas of the North America, usually those surrounding the Ohio and Mississippi river valleys. It is not common in the East Coast of the United States, and is in fact, reportable in Pennsylvania. It has been rarely described in immunocompetent individuals residing in a non-endemic region. We present a case of a previously healthy middle-aged male, a Pennsylvania resident, who presented with mid-sternal chest discomfort, fatigue, chills and mild shortness of breath, and was diagnosed with primary pulmonary histoplasmosis.
Keywords: primary pulmonary histoplasmosis; pulmonary nodules; computed tomography of chest; Itraconazole; Histoplasma antigen primary pulmonary histoplasmosis; pulmonary nodules; computed tomography of chest; Itraconazole; Histoplasma antigen

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MDPI and ACS Style

Neupane, R.; Sharma, M.; Sharma, D.; Thachil, R.; Krishnamurthy, M.; Lowman, G. An Unusual Infection in an Immunocompetent Male from a Non-Endemic Area: Lessons from a Vacation. Clin. Pract. 2019, 9, 1141. https://doi.org/10.4081/cp.2019.1141

AMA Style

Neupane R, Sharma M, Sharma D, Thachil R, Krishnamurthy M, Lowman G. An Unusual Infection in an Immunocompetent Male from a Non-Endemic Area: Lessons from a Vacation. Clinics and Practice. 2019; 9(3):1141. https://doi.org/10.4081/cp.2019.1141

Chicago/Turabian Style

Neupane, Ritesh, Munish Sharma, Divakar Sharma, Rajeev Thachil, Mahesh Krishnamurthy, and Gerald Lowman. 2019. "An Unusual Infection in an Immunocompetent Male from a Non-Endemic Area: Lessons from a Vacation" Clinics and Practice 9, no. 3: 1141. https://doi.org/10.4081/cp.2019.1141

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