Literature DB >> 32337209

Disseminated histoplasmosis in primary Sjögren syndrome: A case report.

Jia-Ai Li1, Ying-Ying Cheng1, Zhi-Tao Cui2, Wei Jiang1, Wu-Qiong Zhang1, Zhong-Hua Du3, Bin Gao1, Yin-Yin Xie1, Hong-Mei Meng4.   

Abstract

BACKGROUND: Sjögren syndrome (SS) is a chronic and systemic autoimmune disease characterized by lymphocytic infiltration of the exocrine glands. And histoplasmosis is an invasive mycosis caused by the saprophytic dimorphic fungus H. capsulatum. In patients with primary SS (PSS), disseminated histoplasmosis (DH) is extremely rare. CASE
SUMMARY: We report a 37-year-old female patient admitted to our hospital with exacerbating fatigue, somnolence, and pancytopenia as the main symptoms. She was eventually diagnosed with DH based on pancytopenia, splenomegaly, and findings of bone marrow smears. The atypical clinical symptoms made the diagnosis process more tortuous. Unfortunately, she died of respiratory failure on the day the diagnosis was confirmed.
CONCLUSION: We present a rare and interesting case of DH in a PSS patient. This case updates the geographic distribution of histoplasmosis in China, and expands the clinical manifestations of DH in PSS, highlighting the significance of constantly improving the understanding of PSS with DH. ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.

Entities:  

Keywords:  Central nervous system involvement; Disseminated histoplasmosis; Hematologic manifestations; Infection; Pancytopenia; Sjögren syndrome

Year:  2020        PMID: 32337209      PMCID: PMC7176620          DOI: 10.12998/wjcc.v8.i7.1319

Source DB:  PubMed          Journal:  World J Clin Cases        ISSN: 2307-8960            Impact factor:   1.337


  20 in total

1.  Successful treatment with intravenous immunoglobulin of severe thrombocytopenia complicated in primary Sjögren's syndrome.

Authors:  Bum-Su Choung; Wan-Hee Yoo
Journal:  Rheumatol Int       Date:  2010-03-17       Impact factor: 2.631

Review 2.  Sjögren syndrome.

Authors:  Clio P Mavragani; Haralampos M Moutsopoulos
Journal:  CMAJ       Date:  2014-02-24       Impact factor: 8.262

3.  Disseminated histoplasmosis: a comparative study of the clinical features and outcome among immunocompromised and immunocompetent patients.

Authors:  D Deodhar; F Frenzen; P Rupali; D David; M Promila; I Ramya; M S Seshadri
Journal:  Natl Med J India       Date:  2013 Jul-Aug       Impact factor: 0.537

4.  Systemic activity and mortality in primary Sjögren syndrome: predicting survival using the EULAR-SS Disease Activity Index (ESSDAI) in 1045 patients.

Authors:  P Brito-Zerón; B Kostov; R Solans; G Fraile; C Suárez-Cuervo; A Casanovas; F J Rascón; R Qanneta; R Pérez-Alvarez; M Ripoll; M Akasbi; B Pinilla; J A Bosch; J Nava-Mateos; B Díaz-López; M L Morera-Morales; H Gheitasi; S Retamozo; M Ramos-Casals
Journal:  Ann Rheum Dis       Date:  2014-11-28       Impact factor: 19.103

5.  Incidence, associated factors and clinical impact of severe infections in a large, multicentric cohort of patients with systemic lupus erythematosus.

Authors:  Íñigo Rúa-Figueroa; Javier López-Longo; María Galindo-Izquierdo; Jaime Calvo-Alén; Víctor Del Campo; Alejandro Olivé-Marqués; Sabina Pérez-Vicente; Antonio Fernández-Nebro; Mariano Andrés; Celia Erausquin; Eva Tomero; Loreto Horcada; Esther Uriarte; Mercedes Freire; Carlos Montilla; Ana Sánchez-Atrio; Gregorio Santos; Alina Boteanu; Elvira Díez-Álvarez; Javier Narváez; Víctor Martínez-Taboada; Lucía Silva-Fernández; Esther Ruiz-Lucea; José Luis Andreu; José Ángel Hernández-Beriain; Marian Gantes; Blanca Hernández-Cruz; José Pérez-Venegas; Ángela Pecondón-Español; Carlos Marras; Mónica Ibáñez-Barceló; Gema Bonilla; Vicente Torrente; Iván Castellví; Juan José Alegre; Joan Calvet; Jose Luis Marenco; Enrique Raya; Tomás Vázquez; Victor Quevedo; Santiago Muñoz-Fernández; Manuel Rodríguez-Gómez; Jesús Ibáñez; José M Pego-Reigosa
Journal:  Semin Arthritis Rheum       Date:  2017-01-27       Impact factor: 5.532

Review 6.  Clinical Perspectives in the Diagnosis and Management of Histoplasmosis.

Authors:  Marwan M Azar; Chadi A Hage
Journal:  Clin Chest Med       Date:  2017-05-17       Impact factor: 2.878

Review 7.  Histoplasmosis: a new endemic fungal infection in China? Review and analysis of cases.

Authors:  Bo Pan; Min Chen; Weihua Pan; Wanqing Liao
Journal:  Mycoses       Date:  2012-12-10       Impact factor: 4.377

Review 8.  Sjögren syndrome.

Authors:  Pilar Brito-Zerón; Chiara Baldini; Hendrika Bootsma; Simon J Bowman; Roland Jonsson; Xavier Mariette; Kathy Sivils; Elke Theander; Athanasios Tzioufas; Manuel Ramos-Casals
Journal:  Nat Rev Dis Primers       Date:  2016-07-07       Impact factor: 52.329

9.  The risk of nontuberculous mycobacterial infection in patients with Sjögren's syndrome: a nationwide, population-based cohort study.

Authors:  Wen-Cheng Chao; Ching-Heng Lin; Tsai-Ling Liao; Yi-Ming Chen; Chiann-Yi Hsu; Jun-Peng Chen; Der-Yuan Chen; Hsin-Hua Chen
Journal:  BMC Infect Dis       Date:  2017-12-28       Impact factor: 3.090

10.  Central nervous system histoplasmosis: Multicenter retrospective study on clinical features, diagnostic approach and outcome of treatment.

Authors:  Joseph Wheat; Thein Myint; Ying Guo; Phebe Kemmer; Chadi Hage; Colin Terry; Marwan M Azar; James Riddell; Peter Ender; Sharon Chen; Kareem Shehab; Kerry Cleveland; Eden Esguerra; James Johnson; Patty Wright; Vanja Douglas; Pascalis Vergidis; Winnie Ooi; John Baddley; David Bamberger; Raed Khairy; Holenarasipur R Vikram; Elizabeth Jenny-Avital; Geetha Sivasubramanian; Karen Bowlware; Barbara Pahud; Juan Sarria; Townson Tsai; Maha Assi; Satish Mocherla; Vidhya Prakash; David Allen; Catherine Passaretti; Shirish Huprikar; Albert Anderson
Journal:  Medicine (Baltimore)       Date:  2018-03       Impact factor: 1.889

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