Leishmania

• A 60 year-old male patient from South America was admitted to the hospital with chest pain, cough and fever

• Blood work and various other tests were ordered including lung biopsy for C&S and fungal investigation

• Gram stain and fungal stain results were negative

• Initial diagnosis as Leishmania was made using Giemsa

• Patient was not responding to anti-parasitic treatment

• On day 11 Histoplasma grew from culture in mycology

• Patient was treated appropriately and immediately started to respond to antifungal therapy.

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