histoplasmosis, acute, primary, pulmonary…

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acute histoplasmosis, fungus, acute pulmonary histoplasmosis, respiratory infection, inhaling the spores, the fungus histoplasma capsulatum, is commonly found in bird, bat droppings, along river valleys, histoplasmosis, a fungus found, in the central, eastern united states, eastern canada, mexico, central america, south america, africa, southeast asia, most patients have no symptoms, asymptomatic, experience a mild flu-like illness, recover uneventfully, acute pulmonary histoplasmosis, occur in an epidemic, widespread local outbreak of disease, progressive, chronic disease, particularly amongst those, impaired immune systems, hiv, risk factors include travel to, residence, in the central, eastern united states near the great river valleys, exposure, droppings of birds, bats, having a compromised immune system, fever, chills, shortness of breath, muscle aching, stiffness, cough, rash, joint pain, joint stiffness, chest x-ray, sputum culture, not positive, cbc, complete blood count, bronchoscopy, only performed in patients, severe disease, abnormal immune systems, antibody tests, histoplasmosis, serologies, biopsy of site of infection, chest ct scan, acute pulmonary histoplasmosis, not necessary, amphotericin b, an antifungal medication, severe cases, amphotericin b is given, 2 weeks to children under 2 years of age, at risk, developing disseminated histoplasmosis, additional therapy is needed, itraconazole, fluconazole given, severe, progressive, illness, last, 1 to 6 months, rarely fatal, a very serious illness, weak immune systems, had bone marrow, solid organ transplants, aids, histoplasmosis, spread to other organs, the bloodstream, dissemination, seen in infants, young children, immunosuppressed patients, acute histoplasmosis, progressively worsen, become chronic histoplasmosis, symptoms of histoplasmosis occur, have an immune disorder, have been, exposed to bird, bat droppings, histoplasmosis, new symptoms develop, avoiding travel to areas where this spore is found would, prevent it but this is not practical, avoid contact, bird, bat droppings, in one of these areas, immunosuppressed.