MASSIVE HEMOPTYSIS AS THE PRESENTING MANIFESTATION IN A CHILD WITH HISTOPLASMOSIS

A previously healthy and asymptomatic 7-year-old white boy presented w ith a history of two episodes of hemoptysis productive of bright red b lood in the 5 days preceding admission. After admission he developed m assive hemoptysis that, on bronchoscopy, was noted to be emanating fro m the right lower lobe. An emergency right lower lobe resection was do ne. Pathological examination revealed hilar adenopathy and peripheral lesions with caseating granulomas containing yeast, morphologically co nsistent with Histoplasma capsulatum. (C) 1997 Wiley-Liss, Inc.