The Brief Case: Histoplasma duboisii-an Infection with a Rare Organism Presenting as an Abdominal Mass.

Abstract

A 34-year-old female presented at a hospital in San Antonio with worsening of chronic diffuse abdominal pain and subjective fevers. The patient presented in mild distress without a history of weight loss, loss of appetite, abdominal trauma, prior radiation, or obstruction. An abdominal mass was noticed 16 years prior at the time of an induced abortion but did not receive any intervention. She relocated from Ghana 2 months prior to presentation with a history of exposure to an unclean water source and goat husbandry. Upon physical examination, she was febrile at 100.5°F and tachycardic. Her abdomen was soft, nondistended, and tender to palpation in the left lower quadrant without rebound.