Abstract
A 61-year-old female with a history of bilateral lung transplantation for idiopathic pulmonary fibrosis presented with shortness of breath, cough and diarrhea. She was on chronic immunosuppressive medications, including Tacrolimus and mycophenolate, and on apixaban for deep vein thrombosis.
Highlights
A 61-year-old female with a history of bilateral lung transplantation for idiopathic pulmonary fibrosis presented with shortness of breath, cough and diarrhea
She was on chronic immunosuppressive medications, including Tacrolimus and mycophenolate, and on apixaban for deep vein thrombosis
The patient subsequently underwent bronchoscopy with cultures which confirmed disseminated Histoplasmosis. She was treated with IV amphotericin B with significant improvement in her symptoms and will be continued on lifelong itraconazole. This case highlights a unique presentation of a lung transplant patient who was found to have disseminated Histoplasmosis initially diagnosed with endoscopy
Summary
A 61-year-old female with a history of bilateral lung transplantation for idiopathic pulmonary fibrosis presented with shortness of breath, cough and diarrhea. She was on chronic immunosuppressive medications, including Tacrolimus and mycophenolate, and on apixaban for deep vein thrombosis. She was found have iron deficiency anemia. Her previous work-up for mild iron deficiency anemia five years earlier included an EGD and colonoscopy which were both negative.
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