We studied an aberrant culture of Histoplasma capsulatum var, capsulat
um isolated from synovial fluid collected from the right elbow of a pa
tient from Kansas, Colonies on Sabouraud glucose agar and other routin
e mycological media were glabrous to soft, moist, heaped, deeply folde
d or convoluted, and orange-brown with a white, irregular margin, Micr
oscopically, hyphae were hyaline, septate, and branched and remained t
otally devoid of conidiation over a period of 2 years on all mycologic
al media, Conversion to the yeast form was achieved on Pine's medium a
t 37 degrees C, Colonies at early stages of growth were smooth, moist,
pasty, shiny, and orange-brown but soon became wrinkled and slightly
raised and produced oval, thin-walled cells measuring 2 to 3 by 3 to 4
,5 mu m which multiplied by polar budding, The identity of the isolate
was further confirmed by utilizing the Accuprobe DNA probe and the ex
oantigen test for H, capsulatum var, capsulatum.