Histoplasma granuloma of the conjunctiva.

PURPOSE: To describe the clinical and pathologic features of a conjunctival granuloma resulting from Histoplasma capsulatum.

DESIGN

Clinicopathologic case report.

METHODS

Surgical excision of conjunctival lesion, histopathologic study with special stains, and a fluorescent antibody technique.

RESULTS

A conjunctiva granuloma was found to contain microorganisms, compatible with H. capsulatum, confirmed by a fluorescent antibody technique. The conjunctiva returned to normal.

CONCLUSIONS

A focal granuloma of the conjunctiva contained H. capsulatum in a patient whose recent symptoms suggested primary infection. The conjunctival lesion was similar to mucocutaneous lesions seen in patients with systemic histoplasmosis.