• Der Internist · Nov 2021

    Case Reports

    [Puzzling B symptoms in a 61-year-old patient under treatment for rheumatoid arthritis].

    • R Wüstenberg, M Christner, S Schmiedel, A Tariparast, D Wichmann, M Lennartz, H Klose, and S Kluge.
    • II. Medizinische Klinik und Poliklinik, Abteilung für Pneumologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland. r.wuestenberg@gmx.de.
    • Internist (Berl). 2021 Nov 1; 62 (11): 1231-1236.

    AbstractA patient with rheumatoid arthritis and immunosuppression developed symptoms of wasting, neuropathy and lung cavitations eventually leading to central nervous system symptoms and fatal multi-organ failure. Disseminated infection with Histoplasma capsulatum proved to be the underlying cause. The primary infection had apparently been acquired 4 years earlier on a holiday to the Caribbean. Rare infectious diseases should be considered in patients under immunosuppression and travel activities to specific endemic areas.© 2021. The Author(s).

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