Acute histoplasmosis in a hyperreactive individual.

Acute histoplasmosis usually is asymptomatic and most commonly occurs in children. Symptomatic acute pulmonary infections range from mild to severe. Extrapulmonary lesions are common and oftentimes most prominent. In this report, we describe a patient with acute histoplasmosis with pulmonary findings as well as striking lesions within the liver and spleen.