Not Your Typical Arizona Granuloma: A Case Report of Disseminated Histoplasmosis

      Histoplasmosis is the most common endemic mycosis worldwide.
      • Kauffman CA
      Diagnosis of histoplasmosis in immunosuppressed patients.
      Most infections are asymptomatic or self-limited, but some can present with multiorgan involvement, particularly in individuals with impaired cell-mediated immunity. Although the occurrence of tumor necrosis factor α inhibitor (TNFi)-related histoplasmosis is well established, concurring vasculitides such as Behcet's disease are rare and can create a diagnostic dilemma. We present a patient with Behcet's disease receiving TNFi therapy who developed disseminated histoplasmosis.
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