Acute diffuse pulmonary histoplasmosis with severe disease
- 50 YO Spanish Speaking male
- presents with fever, abdominal pain, nausea, SOB for 3 weeks since trip to El Salvador
- Exposure to dirty environment
- found to have multifocal PNA and acute hypoxemic respiratory failure requiring MICU admission for max doses of high flow NC. G
- acute bilateral PE without evidence of RHS so was started on anticoagulation. A
- infectious studies
- positive histoplasmosis, s
- started on amphotericin
- transitioned to itraconazole
reference Number b11539