Unusual manifestation of histoplasmosis in connective tissue diseases F. Ceccato V. Gongora A. Zunino S. Roverano S. Paira Email author Brief Report First Online: 01 June 2007 Received: 19 April 2007 Revised: 15 May 2007 Accepted: 17 May 2007 DOI :
10.1007/s10067-007-0655-5
Cite this article as: Ceccato, F., Gongora, V., Zunino, A. et al. Clin Rheumatol (2007) 26: 1717. doi:10.1007/s10067-007-0655-5 Abstract This report describes the coexistence of three patients with rheumatic diseases (systemic lupus erythematosus, rheumatoid arthritis, and dermatomyositis) and infections because of Histoplasma capsulatum . Connective tissue diseases and histoplasmosis share several clinical findings. Therefore, histoplasmosis could be misdiagnosed as connective tissue disease or a flare of these diseases. Such cases highlight the importance of awareness of histoplasmosis in immunocompromised patients, particularly in those originating from endemic areas.
Keywords Connective tissue diseases Histoplasmosis Nasal perforation Panniculitis
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Authors and Affiliations F. Ceccato V. Gongora A. Zunino S. Roverano S. Paira Email author 1. Rheumatology Section, Department of Internal Medicine Hospital J.M. Cullen Santa Fe Argentina 2. Santa Fe Argentina