MARSHALL M. KAPLAN, M.D.; LOUIS M. SHERWOOD, M.D.
Skin sensitivity to Histoplasma capsulatum in patients with pericardial calcification was first reported in 1955 by Billings and Couch (1). They described 2 patients with pericardial calcifications, positive histoplasmin skin tests, and negative reactions to tuberculin. Neither patient had a past medical history suggestive of acute pericarditis, and the presumptive diagnosis was chronic calcific pericarditis secondary to histoplasmosis. Several similar patients (2-7) have since been reported, and in some (4-7) there was clinical evidence that the pericarditis was constrictive in nature.
Acute pericarditis attributed to H. capsulatum has been adequately documented in only 7 patients. In 1958, Heiner (8) reported
MARSHALL M. KAPLAN, LOUIS M. SHERWOOD. Acute Pericarditis due to Histoplasma Capsulatum. Ann Intern Med. 1963;58:862–867. doi: 10.7326/0003-4819-58-5-862
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Published: Ann Intern Med. 1963;58(5):862-867.
Cardiology, Infectious Disease, Pericardial Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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