Histoplasmosis should be considered as a differential diagnosis especially in immunocompromised patients presenting with gastrointestinal symptoms even in areas where histoplasmosis is non endemic. The presenting symptoms often mimic abdominal tuberculosis. There are reports of simultaneous infections of both histoplasmosis and tuberculosis in patients with acquired immunodeficiency syndrome (AIDS). With early diagnosis and aggressive antifungal therapy gastrointestinal histoplasmosis has a very good prognosis. Here we are reporting a case that initially presented with clinical and radiological evidence initially suggestive of abdominal tuberculosis which on further work up was diagnosed as abdominal histoplasmosis.
Immunocompromised status, abdominal lymphadenopathy, histoplasmosis