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Histoplasmosis cluster, golf course, Canada.

Heather Anderson1, Lance Honish, Geoff Taylor

  • 1University of Alberta, Edmonton, Alberta, Canada.

Emerging Infectious Diseases
|February 24, 2006
PubMed
Summary

Four cases of acute histoplasmosis were linked to soil exposure during golf course renovation in western Canada. Testing for this fungal infection is recommended for patients with similar symptoms, irrespective of travel history.

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Public Health

Background:

  • Histoplasmosis is a fungal infection caused by Histoplasma capsulatum.
  • It is typically associated with exposure to bird or bat droppings, but soil exposure can also be a source.
  • Acute histoplasmosis can present with varied symptoms, making diagnosis challenging.

Observation:

  • A cluster of four cases of acute histoplasmosis was identified.
  • Cases were linked to soil exposure during a golf course renovation project.
  • One case was confirmed by culture, and three had positive serology, with two symptomatic patients.

Findings:

  • The study identified a novel association between golf course renovation soil and histoplasmosis.
  • This suggests that environmental disturbances can increase the risk of exposure to Histoplasma.

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  • The findings highlight the importance of considering histoplasmosis in differential diagnoses for respiratory illnesses in specific occupational settings.

    • Implications:

    • Patients in western Canada presenting with symptoms compatible with histoplasmosis should be evaluated.
    • Testing for histoplasmosis should be considered even without a known travel or specific exposure history.
    • This emphasizes the need for increased awareness of environmental fungal pathogen risks in occupational health and community medicine.