HIV| Histoplasmosis

Sites

  • Lungs
  • Liver
  • GI track
  • Adrenals
  • Spleen
  • CNS
  • Disseminated disease

Risk Factors

  • CD4 < 200
  • Ohio River Valley
  • Exposure to bird or bat droppings→ chicken coops/caves

Symptoms

  • Cough
  • Fever
  • SOB
  • Oral ulcers
  • Abdominal pain
  • Diarrhea
  • Confusion

Physical Exam Findings

  • Oral ulcers
  • Hepatomegaly
  • Splenomegaly
  • Adenopathy
  • Lung findings of pneumonia
  • Skin papules, ulcers, e-nodosum

Links