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March 1, 1934˜The œAmerican journal of tropical medicine.

A Case of Histoplasmosis of Darling in an Infant

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Authors

KDKatharine DoddUniversity of Arkansas at Little RockETEdna H. TompkinsUnited States Department of the Army

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Implication

Case report demonstrates antemortem detection of Histoplasma in mononuclear cells in an infant, suggesting infected phagocytes drive severe multi-organ vascular and marrow complications.

Key Points

  • To report a case of infantile histoplasmosis and examine how intracellular fungal invasion of mononuclear cells contributes to systemic disease pathology.
  • Clinical and microscopic evaluation of peripheral blood collected during life from an infant in Tennessee (N=1).
  • Pathological examination and species confirmation of the intracellular organism by an academic pathology department.
  • Microscopic analysis of blood during life identified the characteristic fungal parasite situated within circulating large mononuclear cells.
  • Involvement of parasitized mononuclear cells accounted for extensive bone marrow invasion, pulmonary alveolar collapse, vascular occlusion, and erythrocyte destruction.

Cite This Study

Dodd et al. (1934) studied this question.

synapsesocial.com/papers/6a70518dc92390ac2d07bf7ahttps://doi.org/10.4269/ajtmh.1934.s1-14.127
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CUTANEOUS HISTOPLASMOSIS IN CHILD WITH HYPER IG M SYNDROME2024
  2. 2Disseminated histoplasmosis in an immunocompetent infant: an uncommon diagnostic consideration2026
  3. 3Darling’s Disease in a Non-HIV Patient – A Rare Case Report from Western Rajasthan2026
  4. 4Fungal infection detected from a peripheral blood smear review2025
  5. 5B72-13 Disseminated Histoplasmosis in an Immunocompetent 18-Year-Old Lady: A Rare Mimic Case of Cavitary Pneumonia and Myocarditis2026