A necrotic tonsillar lesion: An unusual presentation of disseminated histoplasmosis

Christopher Keen; Hwajeong Lee; Lisa Galati; John Fantauzzi; Richard Blinkhorn; Timothy A Jennings; Sudha Chaturvedi; Marc A Judson

doi:10.1016/j.rmcr.2017.06.003

A necrotic tonsillar lesion: An unusual presentation of disseminated histoplasmosis

Respir Med Case Rep. 2017 Jun 7:22:44-46. doi: 10.1016/j.rmcr.2017.06.003. eCollection 2017.

Authors

Christopher Keen¹, Hwajeong Lee², Lisa Galati³, John Fantauzzi⁴, Richard Blinkhorn⁵, Timothy A Jennings², Sudha Chaturvedi⁶, Marc A Judson¹

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA.
² Department of Pathology, Albany Medical Center, Albany, NY, USA.
³ Department of Otolaryngology, Albany Medical Center, Albany, NY, USA.
⁴ Department of Radiology, Albany Medical Center, Albany, NY, USA.
⁵ Division of Infectious Disease, Albany Medical Center, Albany, NY, USA.
⁶ Mycology Laboratory, Wadsworth Center, New York State Department of Health, Albany, NY, USA.

Abstract

We report a case of tonsillar histoplasmosis with hematogenous dissemination in a woman receiving infliximab for Crohn's disease. She also had a history of sarcoidosis. Due to the unusual location and confounding medical history, our case provided a diagnostic dilemma. Histoplasma infection was confirmed histologically, and the patient responded well to appropriate treatment.

Keywords: Histoplasmosis; Tonsil.

Publication types

Case Reports