UNASSIGNED: 65 year-old-male presented with a one-week history of high grade fever, @entity1295 and @entity911 which began abruptly two days after a cystoscopy procedure. Past medical history included @entity10070 diagnosed by mediastinal lymph biopsy, @entity6 and @entity101 . On admission he was febrile and confused with stable vital signs. Initial workup included negative Head CT and lumbar puncture. Blood work revealed normal metabolic and liver function tests with progressive @entity417 , @entity882 and @entity6113 of 15-20%. Blood, urine and respiratory cultures all were negative for bacteria and. A bone marrow biopsy was done given the abnormal lymphocytes in peripheral smear, revealing budding @entity375 consistent with Histoplasma capsulatum. Histoplasma antigen was positive in urine and eventually blood and bone marrow grew @entity3218 . @entity1 was started on @entity2379 for diagnosis of disseminated @entity3219 . After a 2 week period of @entity2379 , @entity1 was switched to oral @entity2059 to complete 12 months course of treatment.

Acute @entity3219 with XXXX in an Immunocompetent Host.

@entity6113 :: ('MESH:D008218', 'Disease') :: ['atypical lymphocytosis'] @entity1 :: ('9606', 'Species') :: ['patient', 'Patient'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity882 :: ('MESH:D013921', 'Disease') :: ['thrombocytopenia'] @entity2379 :: ('MESH:D000666', 'Chemical') :: ['amphotericin B', 'amphotericin-B'] @entity1295 :: ('MESH:D005221', 'Disease') :: ['fatigue'] @entity911 :: ('MESH:D003221', 'Disease') :: ['confusion'] @entity3218 :: ('5037', 'Species') :: ['H. capsulatum'] @entity3219 :: ('MESH:D006660', 'Disease') :: ['histoplasmosis'] @entity375 :: ('4932', 'Species') :: ['yeast'] @entity10070 :: ('MESH:D017565', 'Disease') :: ['pulmonary sarcoidosis'] @entity2059 :: ('MESH:D017964', 'Chemical') :: ['Itraconazole']
@entity6113 :: (MESH:D008218,Disease) :: ['Atypical Lymphocytosis']
