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Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report.

Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report. Research Abstract Details 

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  • Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report. Abstract Text:

    richard k gurgelRichard K Gurgel,pamela c roehmPamela C Roehm,marlan r hansenMarlan R Hansen,

    OBJECTIVE: To report a unique presentation of disseminated histoplasmosis. STUDY DESIGN: Case report. SETTING: University hospital, tertiary referral center. PATIENT: Our patient presented with vertigo, tinnitus, and unilateral hearing loss, and was initially found to have a 5-mm enhancing left internal auditory canal mass, as revealed by a magnetic resonance imaging (MRI) scan. Subsequently, the patient developed multiple focal neurologic deficits. INTERVENTIONS: Magnetic resonance imaging and treatment with intravenously administered amphotericin B, with subsequent oral administration of itraconazole. MAIN OUTCOME MEASURES: Clinical presentation and imaging findings of Histoplasmosis involving the cranial nerve VIII. RESULTS: A subsequent MRI scan revealed enlargement of the initial lesion and multiple parenchymal lesions. Further workup revealed a pulmonary lesion; the diagnosis of disseminated histoplasmosis was made on the basis of bronchoalveolar lavage culture. CONCLUSION: Infectious processes, including disseminated histoplasmosis, should be considered in the differential of internal auditory canal masses, especially in the setting of rapid progression of symptoms.

    Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report. Publishing Authors By Initials

    rk gurgelRK Gurgel,pc roehmPC Roehm,mr hansenMR Hansen,

    For similar abstracts research abstracts see: abstracts research

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    Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Otology & neurotology : official publication of th

    VOLUME: 27

    Page Numbers: 1014-6

    Journal Abbreviation: Otol. Neurotol.

    ISSN: 1531-7129

    DAY: 28

    MONTH: Oct

    YEAR: 2006

    Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report. Information

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    LANGUAGE: eng

    NlmUniqueID: 100961504

    Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report. Keywords Mesh Terms:

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    Grant and Affiliation Information for Disseminated histoplasmosis presenting as a unilateral cranial nerve VIII mass: a case report.

    AFFILIATION: Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Otol Neurotol

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