Histoplasmosis Presenting as Acute Polyarthritis

Abstract

MIGRATORY polyarthritis was the predominant presenting manifestation of acute primary histoplasmosis in the following case.Case ReportA 23-year-old student first noted pain, swelling and redness of the left ankle. Four days later the right ankle became similarly involved. After 3 days, bilateral ankle pain prevented him from attending classes. He recalled a mild "cold" about 1 week earlier and thereafter had experienced malaise and low-grade fever.On admission the temperature was 38.1°C, and the pulse 100. Both ankles showed diffuse swelling, marked tenderness, calor, and limited painful motion. The remainder of the examination was within normal limits.Fever (temperature . . .