Headaches in a Horseback Rider

Nicole Hunter; Christian Kostowniak; Abdallah Hamayel; Aaron Bliss; Hunter Lakin; Josenia Tan; Laurie Proia

doi:10.1093/ofid/ofad145

Headaches in a Horseback Rider

Open Forum Infect Dis. 2023 Mar 20;10(3):ofad145. doi: 10.1093/ofid/ofad145. eCollection 2023 Mar.

Authors

Nicole Hunter¹, Christian Kostowniak², Abdallah Hamayel¹, Aaron Bliss¹, Hunter Lakin², Josenia Tan³, Laurie Proia^{1

4}

Affiliations

¹ Department of Internal Medicine, Rochester Regional Health Unity Hospital, Rochester, New York, USA.
² Department of Medicine, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, USA.
³ Department of Pathology, Rochester Regional Health Unity Hospital, Rochester, New York, USA.
⁴ Department of Infectious Diseases, Rochester Regional Health Unity Hospital, Rochester, New York, USA.

Abstract

An immunocompetent woman presented with headaches. She previouslyworked at a farm in upstate New York. Brain MRI noted pituitary enlargement and neurosurgerypursued trans-sphenoidal pituitary biopsy. Histopathology revealed ill-defined granulomaswith clusters of yeast, consistent with Histoplasma.

Publication types

Case Reports