Baylor University Medical Center Proceedings

The peer-reviewed journal of Baylor Scott & White Health

Volume 35, 2022 - Issue 3

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Case Studies

Histoplasmosis presenting as colitis and blood dyscrasias in a patient with systemic lupus erythematosus

Dua Noor Butta Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska; Correspondence[email protected]

, MD,

Muhamad Sheharyar Warraichb Department of Internal Medicine, Cook County Hospital, Chicago, Illinois;

, MD,

Akshay Machanahalli Balakrishnaa Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska;

, MD,

Mahmoud Ismayla Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska;

, MD,

Sumbul Liaqatc Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan;

, MD,

Kanza Noor Buttd Department of Radiology, Creighton University Medical University, Omaha, Nebraska;

, MD,

Joseph Thirumalareddye Division of Hospital Medicine, Department of Internal Medicine, Creighton University Medical University, Omaha, Nebraska;

, MD &

Manasa Velagapudif Division of Infectious Diseases, Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska

, MBBS show all

Abstract

A 28-year-old woman with a history of systemic lupus erythematosus on hydroxychloroquine and steroid therapy presented with fever, dysentery, and thrombocytopenia. Marrow aspirate revealed yeast forms of histoplasmosis. She was treated with liposomal amphotericin B followed by itraconazole with resolution of symptoms and marrow recovery.

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Histoplasmosis presenting as colitis and blood dyscrasias in a patient with systemic lupus erythematosus

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Histoplasmosis presenting as colitis and blood dyscrasias in a patient with systemic lupus erythematosus

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