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Table 1 Reported cases of sinusitis caused by H. capsulatum

From: Histoplasma capsulatum causing sinusitis: a case report in French Guiana and review of the literature

Case number

Gender/age

Underlying disease

Patient origin

Clinical signs

Symptoms duration

Infection site

Direct examination by GG

Culture result (tested sample)

Sinus/oral lesions

(CT-Scan)

Treatment

Outcome

Reference

(tested sample)

1

Male/41

HIV

USA

Palatal perforation (ulcerative and granulomatous lesions) Pansinusitis

Sinus, palate

Positive

Positive

Palatal obturator, AMB

Complete cure

19

2

Female/37

HIV

South Africa

Swelling of the upper lip, Painful mouth, Bleeding gums of palate and buccal mucosa, Cervical bilateral lymphadenopathies

9 months

Sinus, palate

Positive (palatal biopsy)

Positive (palatal biopsy)

Hard palate (destruction), Maxillary sinuses, right nasal cavity (opacification)

ITR

Improvement

21

3

Male/39

HIV

USA

Fever, Cough, Nasal congestion, Headache, Submandibular lymph node, Skin rash (Maculo-papular)

2 months

Sinus, skin

Positive (sinus aspirate, skin biopsy)

Positive (sinus aspirate, skin biopsy)

Maxillary sinuses (complete opacifiaction), fontal sinuses (partial opacification)

ITR

Improvement

22

4

Male/40

HIV

Brasil

Fever, Nasal congestion, Rhinorrhea, Hyperemia palpebral, cutaneous alteration

3 months

Sinus, skin

Positive (sinus biopsy)

Positive (sinus aspirate, skin biopsy)

Right maxillary and ethmoid sinuses (complete opacification), frontal sinuses (partial opacification)

ITR

Complete cure

23

5

Male/35

HIV

USA

Fever, Gingival pain, Frontal headache, Pneumopathy

8 months

Sinus, lungs

Positive (sinus biopsy)

Positive (sinus aspirate, sinus biopsy)

Maxillary and ethmoid sinuses (complete opacification)

POS

Complete cure

24

6

Male/76

CLL

Brasil

Facial pain, epistaxis, fever, facial erythema, swelling

2 months

Sinus

Positive (sinus aspirate)

Positive (sinus aspirate)

Right maxillary, frontral, ethmoïdal sinuses (partial opacification)

AMB

Improvement

25

7

Male/90

No

India

Throat bleeding, Nasal congestion, Rhinorrhea, Headache

Palatal perforation

6 months

Sinus, Palate

Positive (oral biospsy)

Positive (oral biopsy)

Hard palate (destruction), right maxillary sinus (opacification)

ITR

Improvement

26

8

Male/39

HIV, tuberculosis

Morocco

Fever, Cough, Nasal congestion, Rhinorrhea, Epistaxis, Headhache, Skin rash (papular and nodular), Hepatosplenomegaly

3 months

Sinus, skin

Positive (sinus aspirate, skin biopsy)

Positive (sinus aspirate, skin biopsy)

Maxillary, ethmoid sinuses (complete opacification), frontal sinuses (partial opacification)

AMB

Complete cure

27

  1. CLL Chronic Lymphocytic Leukaemia, ITR Itraconazole, AMB Amphotericine B, POS Posaconazole