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Passive Administration of Monoclonal Antibodies Against H. capsulatum and Others Fungal Pathogens
Published on: February 14, 2011
Histoplasmosis
Abstract:
Histoplasmosis is the most commonly diagnosed major systemic mycosis in dogs and the second most commonly reported fungal infection in cats. The causative organism, Histoplasma capsulatum, is endemic in 31 of the 48 contiguous US states and has a worldwide distribution. Histoplasma organisms enter the body via inhalation or, possibly, ingestion. They are phagocytized by macrophages and can be disseminated via the bloodstream or lymphatic system to the reticuloendothelial and gastrointestinal (GI) systems and, sometimes, the bones, skin, eyes, or brain. Clinical signs are often nonspecific, including lethargy, weight loss, and inappetence, although respiratory or GI signs may help localize the infection. Definitive diagnosis requires identification of H. capsulatum on cytology or histopathology. However, antigen testing may be useful in animals in the future. Itraconazole is the treatment of choice. The prognosis is fair for animals with pulmonary histoplasmosis and guarded to poor for those with GI or disseminated disease.
Insights
Histoplasmosis, a fungal infection caused by Histoplasma capsulatum, is common in dogs and cats. Diagnosis involves identifying the fungus, with itraconazole as the preferred treatment, though prognosis varies with disease severity.
Area of Science:
- Veterinary Mycology
- Infectious Diseases in Animals
Background:
- Histoplasmosis is a leading systemic fungal infection in dogs and cats.
- Histoplasma capsulatum is endemic in many US states and globally.
- Infection occurs via inhalation or ingestion, spreading through macrophages.
Purpose of the Study:
- To summarize the epidemiology, clinical presentation, diagnosis, treatment, and prognosis of histoplasmosis in animals.
- To highlight the significance of Histoplasma capsulatum as a veterinary pathogen.
Main Methods:
- Review of existing literature on canine and feline histoplasmosis.
- Analysis of diagnostic approaches, including cytology, histopathology, and potential antigen testing.
- Evaluation of treatment outcomes with itraconazole and prognostic indicators.
Main Results:
- Histoplasmosis presents with nonspecific signs like lethargy and weight loss, or localized respiratory/GI signs.
- Definitive diagnosis relies on identifying H. capsulatum via cytology or histopathology.
- Itraconazole is the primary treatment; prognosis is fair for pulmonary disease but guarded to poor for GI or disseminated forms.
Conclusions:
- Histoplasmosis remains a significant mycosis in companion animals, requiring prompt diagnosis and treatment.
- Antigen testing may offer future diagnostic improvements.
- Prognosis is strongly linked to the extent and location of the fungal dissemination.
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