cefepime and Histoplasmosis

Histoplasmosis, caused by the dimorphic fungus Histoplasma capsulatum, is a disease of protean manifestations and of global distribution. Although increasingly reported in Asia, there are few reports from the Philippines. Here, we describe a case of microbiologically diagnosed histoplasmosis, probably acquired from the Philippines, in a returning traveler who presented with a right foot wound and papular rash. The final diagnosis was disseminated histoplasmosis with cutaneous and bone involvement, both unusual manifestations of the disease.

Topics: Administration, Intravenous; Administration, Oral; Aged; Amphotericin B; Cefepime; Cephalosporins; Dexamethasone; Follow-Up Studies; Histoplasma; Histoplasmosis; Humans; Immunocompromised Host; Magnetic Resonance Imaging; Male; Osteomyelitis; Philippines; Skin Diseases; Thalidomide; Vancomycin