[Existence of Histoplasma duboisii histoplasmosis outside continental Africa (apropos of the first Madagascar case)].

The authors report a case of histoplasmosis with H. duboisii authenticated by an histopathologic examination, serology on cross-section. The patient, a 22 year old man from comorian ascent had never left Madagascar and was working on a sugar-cane plantation. He was carrier of ulcerated and suppurated lesions in the inguinal folds and the ombilic and was to die without having received a proper treatment. It is the first case of great form histoplasmosis noticed in Madagascar, outside Continental Africa, geographical distribution area attributed until today to H. duboisii.