histoplasmosis, disseminated…

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disseminated histoplasmosis, fungus, systemic histoplasmosis, disseminated histoplasmosis, infection, inhaling the spores, the fungus histoplasma capsulatum, is found in moist soil areas common, along river valleys, mississippi, ohio river valleys, involves, histoplasmosis, a fungus found, in the central, eastern, mississippi, ohio river valley, eastern canada, mexico, central america, south america, africa, southeast asia, most cases, acute pulmonary histoplasmosis, occur in epidemics, progressive, spreading, disseminated, chronic disease, in disseminated disease, infection is spread to other organs, lungs via the bloodstream, liver, spleen, enlarged, all body organs, involved, ulcerations, the mouth, gastrointestinal tract, risk factors, travel to, residence, the central, eastern, exposure, droppings of birds, bats, fever, chills, muscle aching, stiffness, cough, rash possible, erythema nodosum, joint pain, skin lesions, papule, pustule, plaque, headache, visual changes, chorioretinitis, nausea, vomiting, mental status changes, a physical examination, abnormalities throughout the body, tests used, in the diagnosis of disseminated histoplasmosis, a cbc, blood cultures, a biopsy, culture of affected organs, bone marrow, liver, lymph node, open lung, skin, an abdominal ct scan, a mri scan, the affected organs, an abdominal ultrasound, a chest x-ray, a histoplasma urinary antigen test, antifungal medications, prescribed to control the infection, amphotericin b, drug of choice, in non-aids patients, milder disease, ketoconazole, itraconazole, voriconazole, fluconazole used, at least 12 months, effective, aids patients should receive chronic oral antifungal therapy, itraconazole is preferred, following initial treatment, amphotericin b, progress rapidly, death, multiple organs, symptoms of disseminated histoplasmosis develop, have been, acute, chronic histoplasmosis, emergency symptoms include mental status changes, rapid worsening, the affected person, avoiding travel to areas where this spore is found would, prevent it, not practical, avoid bird, bat droppings, in one of these areas, immunosuppressed.