Acute pulmonary histoplasmosis related to occupational roofing: A case report of two brothers

Background and Purpose: Histoplasma capsulatum is the cause of a prevalent fungal disease in certain regions in the United States of America, like Ohio and the Mississippi River. Its clinical manifestations range from asymptomatic to life-threatening diseases,according to the immune system. A defini...

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Bibliographic Details
Main Authors: Martin Gnoni, Timothy McCann, Adrian Riva-Moscoso, Fortunato Príncipe-Meneses, Diego Chambergo-Michilot
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2021-12-01
Series:Current Medical Mycology
Subjects:
Online Access:http://cmm.mazums.ac.ir/article_139758_01be00210bd77ba588675d0d5f1832a6.pdf
Description
Summary:Background and Purpose: Histoplasma capsulatum is the cause of a prevalent fungal disease in certain regions in the United States of America, like Ohio and the Mississippi River. Its clinical manifestations range from asymptomatic to life-threatening diseases,according to the immune system. A definitive diagnosis is made by biopsy.Case report: Two middle-aged brothers presented with a nine-day history of severe progressive dyspnea. Both were living in Cincinnati, Ohio, and encountered bird droppings 7 days prior to symptoms while working on a roofing project. It should be mentioned that they were not wearing masks. After extensive testing, they were diagnosed with acute pulmonary histoplasmosis. Both were successfully treated with azole-derivative fungal therapy.Conclusion: This is the first case of histoplasmosis acquired through occupational exposure related to roofing and is unique given the two patients were siblings
ISSN:2423-3439
2423-3420