PMC3471405_01
(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.
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fig1
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).
(a) Hematoxylin and eosin stain shows small bowel with granulomatous inflammation. (b) GMS stain highlights intracellular fungal organisms.
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fig2
Gomori's methenamine silver (GMS) stain identified macrophages with small intracellular yeasts consistent with disseminated histoplasmosis (Figure 2).