<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8748</journal-id>
<journal-title><![CDATA[Acta Neurológica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Neurol Colomb.]]></abbrev-journal-title>
<issn>0120-8748</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87482021000200101</article-id>
<article-id pub-id-type="doi">10.22379/24224022340</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Histoplasmosis cerebral]]></article-title>
<article-title xml:lang="en"><![CDATA[Cerebral histoplasmosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peña Castellanos]]></surname>
<given-names><![CDATA[Iván Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santana Porras]]></surname>
<given-names><![CDATA[Julián David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Díaz]]></surname>
<given-names><![CDATA[Karen Sulay]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>05</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>05</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>101</fpage>
<lpage>105</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87482021000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87482021000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87482021000200101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La histoplasmosis cerebral primaria es poco frecuente, en la mayoría de los casos se presenta en forma secundaria a la diseminación desde un foco primario pulmonar. El histoplasma es un hongo dimórfico y endémico que ha sido identificado en Estados Unidos, Canadá, México, Centro y Sudamérica, y es menos común en África, Asia y Europa. La infección se produce por la inhalación inadvertida de las conidias contenidas en los cuerpos fructíferos; el pulmón es el sitio de infección primaria. De las infecciones documentadas por histoplasma en individuos inmunocompetentes, entre el 50 % y el 90 % son asintomáticas, y de las infecciones sintomáticas, el 80 % no requiere terapia y resuelve en forma espontánea; sin embargo, el histoplasma puede diseminarse por toda la economía, incluyendo el sistema nervioso central (SNC). La presentación clínica de histoplasmosis con compromiso del SNC es inespecífica y puede simular otras patologías más comunes. El diagnóstico es particularmente difícil en casos en los que solamente se presenta compromiso aislado del SNC. La histoplasmosis diseminada conlleva un alto riesgo de mortalidad; el tratamiento consta de una fase de inducción seguida de una fase de mantenimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY Primary cerebral histoplasmosis is rare and in the majority of cases presents in secondary to dissemination from a primary pulmonary focus. Histoplasma is a dimorphic and endemic fungus. It has been identified in the United States, Canada, central Mexico and South America and is less common in Africa, Asia, and Europe. The infection is caused by inadvertent inhalation of the conidia contained in the fruiting bodies, the lung is the site of primary infection. Of documented histoplasma infections in individuals immunocompetent, between 50 % and 90 % are asymptomatic, and of symptomatic infections, 80 % do not require therapy and resolve spontaneously, however, histoplasma can spread throughout the economy including the central nervous system (CNS). The presentation Histoplasmosis with CNS involvement is nonspecific and can mimic other most common pathologies. Diagnosis is particularly difficult in cases where it only presents isolated CNS involvement. Disseminated histoplasmosis carries a high risk of mortality; treatment consists of an induction phase followed by a maintenance.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[histoplasma]]></kwd>
<kwd lng="es"><![CDATA[histoplasmosis. (DeCS)]]></kwd>
<kwd lng="en"><![CDATA[Histoplasma]]></kwd>
<kwd lng="en"><![CDATA[histoplasmosis.(MeSH).]]></kwd>
</kwd-group>
</article-meta>
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