ManageChatDiscover
362455

A RARE PRESENTATION OF HISTOPLASMOSIS DIAGNOSED BY EUS

Article

Last updated: 05 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Upper GI Endoscopy

Abstract

A 24-years-old woman patient with no medical history, complaining of dyspepsia for a year, underwent an esophagogastroduodenoscopy. It was detected a subepithelial lesion at the anterior wall of the thoracic esophagus 28 cm from the incisors, with an elongated appearance and a central orifice, measuring 6 mm (A). The patient denied previous surgeries or recent travel.

At endoscopic ultrasound (EUS) the subepithelial lesion corresponded to a lymph node conglomerate, composed of three coalesced lymph nodes, measuring 25x17 mm, located between the left atrium, the pulmonary artery and the esophagus (B).

This lymph node conglomerate presented contiguity with the esophageal wall, which was thickened. No other lymph nodes enlargement was

identified. FNB (Acquire®, Boston Scientific, Marlborough, Massachusetts, USA) was performed with a 22 Gauge needle.

Histology revealed a chronic granulomatour process, with caseous necrosis (C). The research for fungus resulted positive with small yeast-like structures, without budding aspects compatible with histoplasmosis (D).

DOI

10.21608/gg.2024.203950.1012

Keywords

Key words: Histoplasmosis, Endoscopic Ultrasound-Guided Fine Needle Aspiration, Lymph nodes

Authors

First Name

JULIA

Last Name

GREGORIO

MiddleName

MAYUMI

Affiliation

Department of Gastroenterology, Instituto do Câncer do Estado de São Paulo (ICESP), University of São Paulo, São Paulo, SP, Brazil

Email

juliaendoscopia@gmail.com

City

São Paulo

Orcid

-

First Name

LUCIANO

Last Name

LENZ

MiddleName

-

Affiliation

Department of Gastroenterology, Instituto do Cancer do Estado de São Paulo (ICESP), University of Sao Paulo, Sao Paulo, SP, Brazil

Email

luciano.tolentino@grupofleury.com.br

City

São Paulo

Orcid

-

First Name

DEBORAH

Last Name

CENTENO

MiddleName

MARQUES

Affiliation

INSTITUTO DO CANCER DO ESTADO DE SAO PAULO

Email

deborahmarquescenteno@gmail.com

City

-

Orcid

-

First Name

RAFAEL

Last Name

SUETA

MiddleName

UTIMURA

Affiliation

Department of Gastroenterology, Instituto do Câncer do Estado de São Paulo (ICESP), University of São Paulo, São Paulo, SP, Brazil

Email

rafaelutimura@gmail.com

City

-

Orcid

-

First Name

JOAQUIN

Last Name

MENDIETA

MiddleName

ORTIZ

Affiliation

Department of Gastroenterology, Instituto do Câncer do Estado de São Paulo (ICESP), University of São Paulo, São Paulo, SP, Brazil

Email

joaquin.ortiz3489@gmail.com

City

-

Orcid

-

First Name

BRUNO

Last Name

MARTINS

MiddleName

COSTA

Affiliation

Department of Gastroenterology, Instituto do Câncer do Estado de São Paulo (ICESP), University of São Paulo, São Paulo, SP, Brazil

Email

bcm.bruno@gmail.com

City

-

Orcid

-

First Name

FAUZE

Last Name

FILHO

MiddleName

MALUF

Affiliation

INSTITUTO DO CANCER DO ESTADO DE SAO PAULO

Email

fauze.maluf@terra.com.br

City

-

Orcid

-

Volume

2

Article Issue

1

Related Issue

48684

Issue Date

2024-06-01

Receive Date

2023-04-03

Publish Date

2024-06-01

Print ISSN

2974-4245

Online ISSN

2974-4253

Article File

GG3624551717189200.pdf

PDF . 3.4MB

Link

https://gg.journals.ekb.eg/article_362455.html

Detail API

https://gg.journals.ekb.eg/service?article_code=362455

Order

362,455

Type

Case Reports

Type Code

2,694

Publication Type

Journal

Publication Title

Global Gastroenterology

Publication Link

https://gg.journals.ekb.eg/

MainTitle

A RARE PRESENTATION OF HISTOPLASMOSIS DIAGNOSED BY EUS

Details

Type

Article

Created At

18 Dec 2024