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Diagnosis can be challenging, particularly in patients with nonspecific symptoms such as intermittent fever or lethargy. We report the case of a man who presented with intermittent fever 10\u2009years after kidney transplantation. His presentation initially raised suspicion for post\u2010transplant lymphoproliferative disorder (PTLD) but was ultimately diagnosed as disseminated histoplasmosis following mediastinal lymph node biopsy and fungal tissue culture.<\/jats:p>","DOI":"10.1002\/ccr3.72127","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:25:12Z","timestamp":1772958312000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Intermittent Fever a Decade After Renal Transplantation"],"prefix":"10.1002","volume":"14","author":[{"given":"Merazul Islam","family":"Ony","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Medicine Saint Louis University School of Medicine  Saint Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1369-3657","authenticated-orcid":false,"given":"Baris","family":"Afsar","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine Saint Louis University School of Medicine  Saint Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2138-4248","authenticated-orcid":false,"given":"Bahar","family":"Bastani","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine Saint Louis University School of Medicine  Saint Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13553"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2009.02969.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13087"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/10428194.2013.780655"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.42.10.4873\u20104875.2004"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13289"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399\u20103062.2002.01016.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1086\/604712"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit593"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/1319\u20102442.292324"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.30614"},{"key":"e_1_2_10_13_1","article-title":"A Case of Histoplasmosis","volume":"8","author":"Rajesh K. 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