Abstract
Pulmonary histoplasmosis is a rare disease in Europe caused by Histoplasma capsulatum, a dimorphic fungus present in the soil contaminated with excrements of birds and bats. There are two varieties, variety capsulatum endemic of American continent and variety duboisii endemic of African continent. All cases in Europe were imported. In this article, we present a case of chronic pulmonary histoplasmosis, a rare presentation of histoplasmosis in an immunocompetent man several years after he has lived in a endemic region of Africa. He complained of fatigue and dyspnea in the last two years. In computed tomography of the chest, it was verified multiple and bilateral focus of densification with peribronchovascular distribution. Transthoracic lung biopsy was then requested, whose pathological anatomy revealed epithelioid granulomas infected by yeast from Histoplasma capsulatum.
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