Abstract

PEREZ MOLINA, Anelys D. et al. Histoplasmosis with cutaneous manifestations in HIV/AIDS patients. Rev Cubana Med Trop [online]. 2007, vol.59, n.2. ISSN 0375-0760.

Cutaneous infection by histoplasmosis in Cuban HIV patients was researched. In a case series study, all HIV patients admitted to "Pedro Kourí" Institute from January 1^st, 1992 to June 30^th, 2003, who had been diagnosed with cutaneous histoplasmosis, were included. Of 44 patients with histoplasmosis, 52 % (23 cases) developed the progressive disseminated form of histoplasmosis, which behaved as a subacute weakening disease. Young adults represented 56.5 % and 82.6 % were males mainly Caucasian (91.3%). Most of cases came from the Western provinces. Histoplasmosis was a marker disease in 39.1% of cases. CD4+ T-lymphocyte counting under 200 cell/mm³ was present in 78.9 % of patients. Histoplasmosis seems to behave as an important marker disease for AIDs in seropositive patients. Serology was not the diagnosing method of choice for this cutaneous disease in AIDS patients.

Keywords : Histoplasmosis; AIDS; cutaneous histoplasmosis; opportunistic diseases; Cuba.

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