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Disseminated disease, however, can arise in high\u2010risk populations with primary or acquired cellular immunodeficiency including HIV\/AIDS, transplant recipients, and those undergoing immunosuppressive therapy. Here we describe a unique case of extrapulmonary gastrointestinal histoplasmosis by infiltrative Peyer's patch disease with bone marrow involvement in a transgender HIV\u2010infected woman.<\/jats:p>","DOI":"10.1002\/jgh3.13011","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T06:14:27Z","timestamp":1703657667000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Disseminated histoplasmosis in an <scp>HIV<\/scp>\/<scp>AIDS<\/scp> transgender <scp>male\u2010to\u2010female<\/scp> with atypical and persistent <scp>GI<\/scp> manifestations"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5591-6337","authenticated-orcid":false,"given":"Aaron C","family":"Yee","sequence":"first","affiliation":[{"name":"Department of Internal Medicine New York\u2010Presbyterian Brooklyn Methodist Hospital  Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine New York\u2010Presbyterian Brooklyn Methodist Hospital  Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranbir","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine New York\u2010Presbyterian Brooklyn Methodist Hospital  Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"Rizzi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine New York\u2010Presbyterian Brooklyn Methodist Hospital  Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naureen","family":"Shama","sequence":"additional","affiliation":[{"name":"New York Institute of Technology  Westbury New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Khoury","sequence":"additional","affiliation":[{"name":"University of Connecticut Health Center  Farmington Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilan S","family":"Weisberg","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology New York\u2010Presbyterian Brooklyn Methodist Hospital  Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1066896917709945"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v13.i1.24"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/428842"},{"key":"e_1_2_7_5_1","article-title":"Gastrointestinal histoplasmosis as an obstructing ileocecal mass","volume":"12","author":"Nawaz Z","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/aqx169"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0009050"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0010856"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcr2.220"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2005.40823.x"},{"key":"e_1_2_7_11_1","first-page":"90","article-title":"Antigen negative gastrointestinal histoplasmosis in an AIDS patient","volume":"26","author":"Escobar B","year":"2014","journal-title":"Am. 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