Prevalence of histoplasmosis in a midsouthern population

R J Leggiadro1, G S Luedtke, A Convey

  • 1Department of Pediatrics, University of Tennessee, Memphis 38103.

Southern Medical Journal
|November 1, 1991
PubMed

Insights

A high rate of histoplasmin reactivity was found in midsouthern adults. This indicates a significant risk for disseminated Histoplasma capsulatum infection in individuals with human immunodeficiency virus.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Epidemiology

Background:

  • Histoplasmosis is a fungal infection caused by Histoplasma capsulatum.
  • Midsouthern United States is an endemic area for histoplasmosis.
  • Individuals with human immunodeficiency virus (HIV) are at increased risk for disseminated disease.

Purpose of the Study:

  • To determine the prevalence of histoplasmin reactivity in a selected population of normal midsouthern adults.
  • To assess the clinical implications of this prevalence for HIV-infected individuals.

Main Methods:

  • Skin testing with histoplasmin antigen was performed.
  • A selected population of normal midsouthern adults was studied.

Main Results:

  • A histoplasmin reactivity rate of 69% was observed in the studied population.
  • This prevalence is comparable to previously reported rates.

Conclusions:

  • The high prevalence of histoplasmin reactivity in midsouthern adults has significant clinical implications.
  • HIV-infected residents in this area are at substantial risk for disseminated histoplasmosis.

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