2. CASE
STUDY Name : Emily
Age : 43
CHIEF COMPLAIN
• Fever
• Chronic Cough
• Chest Pain
• Rashes on shins
MEDICAL HISTORY
• HIV Positive
HISTORY
• Exploring Caves
• Renovate an abandoned poultry farm
4. CASE
STUDY
Yeasts like structure inside
neutrophils
CULTURE
BLOOD SMEAR
6 weeks
25-30° c
Antibody test – Negative
Antigen test – positive
5. Which one of the following do you think is
most likely the diagnosis?
i. Coccidioidomycosis
ii. Pulmonary aspergillosis
iii. Histoplasmosis
iv. Blastomycosis
v. Pulmonary aspergillosis
6. DIAGNOSTIC RESULT
Antigen test was being positive for Histoplasma Capsulatum
HISTOPLASMOSIS
● Histoplasma Capsulatum
pulmonary and disseminated infections
● Histoplasma Duboisii
skin and bone lesions
7. Yeast form
• 37°
• Body
Mold form
• 23-30°
• environment
THERMALLY DIMORPHIC