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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B72-13 Disseminated Histoplasmosis in an Immunocompetent 18-Year-Old Lady: A Rare Mimic Case of Cavitary Pneumonia and Myocarditis

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The aim is to discuss a rare case of disseminated histoplasmosis in an immunocompetent patient and its diagnostic challenges.
Case report of an 18-year-old female with syncopal episode and chest symptoms.
Performed comprehensive infectious workup including MRI and CT.
Administered oral itraconazole treatment after diagnosis.
Initial imaging revealed cavitary pulmonary lesions and elevated troponin levels.
Positive urine Histoplasma antigen and complement fixation test confirmed the diagnosis.
The patient showed clinical improvement and radiologic resolution after 2 months of itraconazole treatment.

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Implication

Case presentation reports disseminated histoplasmosis resembling pneumonia and myocarditis in an immunocompetent individual, suggesting diagnostic challenges.

Cite This Study

Igbokwe et al. (2026) studied this question.

synapsesocial.com/papers/6a0d5100f03e14405aa9d3dc https://doi.org/10.1093/ajrccm/aamag162.4302

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Implication

Case presentation reports disseminated histoplasmosis resembling pneumonia and myocarditis in an immunocompetent individual, suggesting diagnostic challenges.

B72-13 Disseminated Histoplasmosis in an Immunocompetent 18-Year-Old Lady: A Rare Mimic Case of Cavitary Pneumonia and Myocarditis

Key Points

Discussion

Implication

Cite This Study

B72-13 Disseminated Histoplasmosis in an Immunocompetent 18-Year-Old Lady: A Rare Mimic Case of Cavitary Pneumonia and Myocarditis

Key Points

Discussion

Implication

Cite This Study

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