RESUMEN

Three Austrian travelers (a 37-year-old woman, a 47-year-old woman and a 47-year-old man) presented with fever, dyspnea, thoracodynia, cephalea, arthralgia and fatigue 4 weeks after visiting a bat cave in Mexico. Computed tomography of the lungs showed bilateral nodular infiltrates in all three patients and enlarged mediastinal lymph nodes in two patients. In all patients, specific IgM antibodies against Histoplasma capsulatum could be detected. After treatment with itraconazole 200 mg q.d. orally for 2 months, the patients had no further complaints and the pulmonary infiltrates had resolved.

Asunto(s)

Anticuerpos Antifúngicos/sangre , Histoplasma/inmunología , Histoplasmosis/microbiología , Enfermedades Pulmonares Fúngicas/microbiología , Viaje , Enfermedad Aguda , Adulto , Austria , Femenino , Histoplasmosis/diagnóstico , Histoplasmosis/inmunología , Humanos , Pulmón/diagnóstico por imagen , Enfermedades Pulmonares Fúngicas/diagnóstico , Enfermedades Pulmonares Fúngicas/inmunología , Masculino , México , Persona de Mediana Edad , Tomografía Computarizada por Rayos X