The American Journal of Medicine
Volume 122, Issue 7 , Pages e3-e4 , July 2009

Gastrointestinal Bleeding: One Complaint, Two Culprits

  • Gerson D. Valdez, MD

      Affiliations

    • Department of Internal Medicine, East Tennessee State University, Johnson City, Tenn
    • Corresponding Author InformationRequests for reprints should be addressed to Gerson D. Valdez, MD, Department of Internal Medicine, East Tennessee State University, ETSU Box 70622, Johnson City, TN 37604
    • ,
  • Abhijit Raval, MD

      Affiliations

    • Department of Internal Medicine, East Tennessee State University, Johnson City, Tenn
    • ,
  • James Myers, MD

      Affiliations

    • Division of Infectious Diseases, East Tennessee State University, Johnson City, Tenn
    • ,
  • Christopher Mathews, MD

      Affiliations

    • Division of Gastroenterology, East Tennessee State University, Johnson City, Tenn
    • ,
  • Roger D. Smalligan, MD, MPH

      Affiliations

    • Department of Internal Medicine, East Tennessee State University, Johnson City, Tenn

  • Image Result

    Hematoxylin-eosin staining (×100) of the colon biopsy depicts intracellular organisms compatible with Histoplasma species (arrows).

    Hematoxylin-eosin staining (×100) of the colon biopsy depicts intracellular organisms compatible with Histoplasma species (arrows).

  • Image Result

    Methenamine silver staining (×100) of the colon biopsy revealed organisms compatible with Histoplasma species (arrow).

    Methenamine silver staining (×100) of the colon biopsy revealed organisms compatible with Histoplasma species (arrow).

 Funding: None.

 Conflict of Interest: None.

 Authorship: Drs. Valdez and Smalligan performed the literature review and wrote the initial drafts of the manuscript. Drs. Raval, Myers, and Matthews had active roles in caring for the patient and in reviewing, writing, and editing the manuscript. All authors have actively participated in this project and have had access to the necessary data.

PII: S0002-9343(09)00291-5

doi: 10.1016/j.amjmed.2009.01.029

The American Journal of Medicine
Volume 122, Issue 7 , Pages e3-e4 , July 2009

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