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Answer to Case 10






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Disseminated Histoplasmosis

The patient responded well to long-term intravenous amphotericin B, followed by oral itraconazole. Lumbar vertebral body biospy and lysis centrifugation fungal blood cultures were also positive for the organism.

Submitted by COL Robert Kazragis, Infectious Disease Service, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA. (Photomicrograph courtesy of LTC Randy Hamill, Department of Pathology, DDEAMC.)





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