Postpartum histoplasmosis in an HIV-negative woman: a case report and phylogenetic characterization by internal transcribed spacer region analysis

Rev Soc Bras Med Trop. 2020 Jan 27:53:e20190364. doi: 10.1590/0037-8682-0364-2019. eCollection 2020.

Abstract

The present report describes the first case of postpartum disseminated histoplasmosis in a 24-year-old HIV-negative woman. On the tenth day after vaginal delivery, the patient presented with dyspnea, fever, hypotension, tachycardia, and painful hepatomegaly. Yeast-like Histoplasma capsulatum features were isolated in the buffy coat. The phylogenetic analysis demonstrated that the fungal isolate was similar to other H. capsulatum isolates identified in HIV patients from Ceará and Latin America. Thus, histoplasmosis development in individuals with transitory immunosuppression or during the period of immunological recovery should be carefully examined.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • DNA, Fungal / analysis*
  • DNA, Ribosomal Spacer / genetics*
  • Female
  • Histoplasma / genetics*
  • Histoplasma / isolation & purification
  • Histoplasmosis / diagnosis*
  • Histoplasmosis / microbiology
  • Humans
  • Phylogeny
  • Polymerase Chain Reaction
  • Postpartum Period*

Substances

  • DNA, Fungal
  • DNA, Ribosomal Spacer