case_images: PMC3471405_01
case_images: (a) Endoscopic view of the greater curvature of the stomach showing a well-healed scar from prior CMV gastric ulcer. (b) Endoscopic view of the duodenum showing diffuse erosions.
case_images: CRIM.GM2012-515872.001.jpg
case_images: PMC3471405_01_CRIM.GM2012-515872.001.jpg
case_images: fig1
case_images: EGD was significant for a well-healed scar on the greater curvature of the stomach from prior CMV gastric ulcer and new diffuse erosions throughout the second, third, and fourth segments of the duodenum (Figure 1).
case_images: (a) Hematoxylin and eosin stain shows small bowel with granulomatous inflammation. (b) GMS stain highlights intracellular fungal organisms.
case_images: CRIM.GM2012-515872.002.jpg
case_images: PMC3471405_01_CRIM.GM2012-515872.002.jpg
case_images: fig2
case_images: Gomori's methenamine silver (GMS) stain identified macrophages with small intracellular yeasts consistent with disseminated histoplasmosis (Figure 2).