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Imported histoplasmosis in Spain.

J Gascón1, J M Torres, P Luburich

  • 1Secció Medicina Tropical. IDIBAPS (Institut d'Investigacions Biomèdiques August Pi i Sunyer), Hospital Clínic, Barcelona, Spain.

Journal of Travel Medicine
|April 12, 2000
PubMed
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Histoplasmosis, a fungal infection caused by Histoplasma capsulatum, is often acquired in the Americas. This study details seven immunocompetent patients diagnosed with this disease after recent travel.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Epidemiology

Background:

  • Histoplasma capsulatum is a dimorphic fungus found in the Americas, associated with bird and bat guano.
  • Infection occurs via inhalation of spores, with most cases being asymptomatic, but 10-50% develop acute or chronic pulmonary histoplasmosis.
  • Histoplasmosis symptoms can mimic tuberculosis, and immunocompromised individuals often experience severe disseminated disease.

Purpose of the Study:

  • To report on seven immunocompetent patients with histoplasmosis acquired during travel to the Americas.
  • To highlight the clinical presentation and epidemiological context of imported histoplasmosis cases.

Main Methods:

  • Case series presentation.
  • Review of clinical data for seven immunocompetent patients diagnosed with histoplasmosis.

Related Experiment Videos

  • Analysis of travel history to endemic regions in the Americas.

    • Main Results:

    • Seven immunocompetent patients presented with histoplasmosis after traveling to various American countries.
    • The clinical presentation in these patients, though not detailed, was consistent with known forms of histoplasmosis.
    • No cases were acquired within Europe, reinforcing its status as an imported disease.

    Conclusions:

    • Histoplasmosis remains an important consideration in patients with compatible symptoms returning from endemic areas in the Americas.
    • Immunocompetent individuals can develop histoplasmosis, emphasizing the need for diagnostic awareness beyond immunocompromised populations.
    • Travel history is crucial for diagnosing imported fungal infections like histoplasmosis.