Reactivation Histoplasmosis Manifested by Lymphocutaneous Fistula with Cervical Drainage of Stones
A 22-year-old female from the midwestern U.S. presented for the assessment of a tender neck lesion. Eight years earlier, she underwent a biopsy of a mass in the same location; the culture grew Histoplasma capsulatum. The patients prior physicians felt that the infection was likely to be self-limiting and did not prescribe antimicrobial therapy.