[Imported systemic mycoses: are we prepared to diagnose these infections?]

Kathrin Tintelnot1, Volker Rickerts1

  • 1Robert Koch-Institut, FG16, Erreger von Pilz- und Parasiteninfektionen und von Mykobakteriosen, Konsiliarlabor für Kryptokokkose, Scedosporiose und importierte Systemmykosen.

Insights

Histoplasma capsulatum infections are common in Northern European animals but not humans. Climate change may increase imported fungal disease risks, like coccidioidomycosis, in regions such as Germany.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Climate Change Impact

Context:

  • Histoplasma capsulatum is endemic in animals in Northern Europe.
  • No autochthonous human cases of histoplasmosis are documented in the region.
  • Rising coccidioidomycosis (valley fever) in the USA may increase imported cases in Germany.

Purpose:

  • To highlight the potential for imported fungal infections due to climate change.
  • To underscore the lack of autochthonous histoplasmosis in humans in Northern Europe.
  • To discuss the implications of climate change on fungal pathogen distribution.

Summary:

  • While Histoplasma capsulatum infects animals in Northern Europe, human cases are unproven.
  • Increased coccidioidomycosis in the USA could lead to more imported infections in Germany.
  • Climate change is likely to alter the geographic spread of fungal pathogens.

Impact:

  • Increased awareness of potential fungal disease importation.
  • Need for enhanced surveillance of imported mycoses.
  • Anticipation of altered fungal pathogen distribution due to environmental shifts.

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