DISSEMINATED HISTOPLASMOSIS IN A PATIENT WITH ACQUIRED-IMMUNODEFICIENCY-SYNDROME (AIDS) - A CASE-REPORT

A 27 year old female with AIDS and disseminated histoplasmosis is pres ented. The clinical features include fever, weight loss, productive co ugh, splenomegaly and moderate pallor. The initial working diagnosis w as pulmonary tuberculosis. The diagnosis of disseminated histoplasmosi s was made terminally from bone marrow aspirate examination. Dissemina ted histoplasmosis with its varied clinical picture is likely to be mi ssed in a patient with AIDS, and therefore a high index of suspicion i s necessary for diagnosis.