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Histoplasmosis and asplenia
  1. Harris V K Naina1,
  2. Charles F Thomas Jr1,2,
  3. Samar Harris3
  1. 1Department of Internal Medicine, Division of Hematology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
  2. 2Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
  3. 3Department of Internal Medicine, University of Missouri, Columbia, Missouri, USA
  1. Correspondence to Dr Harris V K Naina, Department of Internal Medicine, Division of Hematology Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA; naina.harris{at}mayo.edu

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A 42-year-old asplenic woman was evaluated for a 2-week history of intermittent high-grade fevers and pleuritic chest pain and skin rash (figure 1). A CT scan of the chest showed multiple small nodules on both lungs (figure 2). Fungal serological studies were negative. A skin biopsy revealed palisading dermal granulomatous …

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