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Pulmonary Manifestations of Systemic Disease: Student/Resident Case Report Poster - Pulmonary Manifestations of Systemic Disease II |

Diffuse Alveolar Hemorrhage Secondary to Disseminated Histoplasmosis After Kidney Transplantation

Alok Bhatt, MBBS; Robert Burkes, MD; Hala Karnib, MD; Mohamed Saad, MD
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University of Louisville, Louisville, KY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1105A. doi:10.1016/j.chest.2016.08.1212
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SESSION TITLE: Student/Resident Case Report Poster - Pulmonary Manifestations of Systemic Disease II

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION:Histoplasma capsulatum is endemic to the Ohio and Mississippi River Valley regions of the US. The demographics of histoplasmosis have changed following the advent of antiretroviral therapy and the use of immunosuppressive agents for organ transplantation and chronic inflammatory conditions1. Patients with kidney transplants make up more than half of this new demographic1, 2. While severe pulmonary histoplasmosis can cause acute respiratory distress syndrome, diffuse alveolar hemorrhage (DAH) in adults has rarely been described3. Early recognition and initiation of therapy is imperative in an immunocompromised host - including withdrawal of immunosuppression.

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