Esophageal fistula complicating mediastinal histoplasmosis. Response to amphotericin B

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

Research output: Contribution to journalArticle

18 Citations (Scopus)

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 - 1987

Fingerprint

Esophageal Fistula
Histoplasmosis
Amphotericin B
Methenamine
Mediastinoscopy
Hemoptysis
Deglutition Disorders
Chest Pain
Esophagus
Fistula
Coloring Agents
Lymph Nodes
Infection

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Esophageal fistula complicating mediastinal histoplasmosis. Response to amphotericin B. / Coss, Kevin C.; Joseph Wheat, Lawrence; Conces, Dewey; Brashear, Richard E.; Hull, Meredith T.

In: The American Journal of Medicine, Vol. 83, No. 2, 1987, p. 343-346.

Research output: Contribution to journalArticle

Coss, Kevin C. ; Joseph Wheat, Lawrence ; Conces, Dewey ; Brashear, Richard E. ; Hull, Meredith T. / Esophageal fistula complicating mediastinal histoplasmosis. Response to amphotericin B. In: The American Journal of Medicine. 1987 ; Vol. 83, No. 2. pp. 343-346.
@article{f08ee48e544c442a8d12f3cf135e3c52,
title = "Esophageal fistula complicating mediastinal histoplasmosis. Response to amphotericin B",
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.",
author = "Coss, {Kevin C.} and {Joseph Wheat}, Lawrence and Dewey Conces and Brashear, {Richard E.} and Hull, {Meredith T.}",
year = "1987",
doi = "10.1016/0002-9343(87)90709-1",
language = "English (US)",
volume = "83",
pages = "343--346",
journal = "American Journal of Medicine",
issn = "0002-9343",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Esophageal fistula complicating mediastinal histoplasmosis. Response to amphotericin B

AU - Coss, Kevin C.

AU - Joseph Wheat, Lawrence

AU - Conces, Dewey

AU - Brashear, Richard E.

AU - Hull, Meredith T.

PY - 1987

Y1 - 1987

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0023634072&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023634072&partnerID=8YFLogxK

U2 - 10.1016/0002-9343(87)90709-1

DO - 10.1016/0002-9343(87)90709-1

M3 - Article

VL - 83

SP - 343

EP - 346

JO - American Journal of Medicine

JF - American Journal of Medicine

SN - 0002-9343

IS - 2

ER -