Hepatic Histoplasmosis Masquerading as Cirrhosis and Portal Hypertension: A Case Report
Abstract: Histoplasmosis is an uncommon cause of pyrexia of unknown origin in India. We present a case of hepatic histoplasmosis presenting as pyrexia of unknown origin. The patient had splenomegaly, thrombocytopenia, high serum-ascites albumin gradient, and imaging suggestive of cirrhosis. The patient had received 2 months of antitubercular treatment and came to us because of a lack of improvement. A liver biopsy was done because of cholestatic liver function tests and normal biliary system on imaging, thus raising the possibility of infiltrative liver disease. A transjugular liver biopsy revealed histoplasmosis. The patients improved after treatment. It is a common practice to start antitubercular treatment in patients with pyrexia of unknown origin, which should not be practiced in the current era. Every effort should be made for a correct diagnosis. The case highlights the importance of liver biopsy in cases with no definite diagnosis and also that hepatic histoplasmosis could mimic cirrhosis.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Hepatic Histoplasmosis Masquerading as Cirrhosis and Portal Hypertension: A Case Report ; volume:12 ; number:02 ; year:2022 ; pages:121-123
Journal of Gastrointestinal Infections ; 12, Heft 02 (2022), 121-123
- Contributor
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Choudhary, Narendra Singh
Deswal, Vikas
Dhampalwar, Swapnil
Mishra, Saurabh
Gautam, Dheeraj
Saraf, Neeraj
- DOI
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10.1055/s-0042-1759744
- URN
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urn:nbn:de:101:1-2024030112002986673741
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:54 AM CEST
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Associated
- Choudhary, Narendra Singh
- Deswal, Vikas
- Dhampalwar, Swapnil
- Mishra, Saurabh
- Gautam, Dheeraj
- Saraf, Neeraj
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