Esophageal fistula complicating mediastinal histoplasmosis. Response to amphotericin B

Kevin C. Coss, Lawrence Joseph Wheat, Dewey J. Conces, Richard E. Brashear, Meredith T. Hull

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

A 41-year-old man was admitted for evaluation of hemoptysis, dysphagia, and pleuritic chest pain associated with a mediastinal mass. Esophagraphy demonstrated a fistula between the mass and the esophagus. Results of histoplasmosis complement fixation serologic testing suggested an active infection. A methenamine silver stain of a lymph node obtained at mediastinoscopy revealed Histoplasmosis capsulatum. The patient was successfully treated with amphotericin B. This is believed to be the first reported case of an esophageal fistula as a complication of mediastinal histoplasmosis successfully treated with amphotericin B.

Original languageEnglish (US)
Pages (from-to)343-346
Number of pages4
JournalThe American Journal of Medicine
Volume83
Issue number2
DOIs
StatePublished - Aug 1987

ASJC Scopus subject areas

  • Medicine(all)

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