Histoplasmosis in Renal Allograft Recipients: Two Large Urban Outbreaks

L. Joseph Wheat, Edwin J. Smith, Boonmee Sathapatayavongs, Byron Batteiger, Ronald S. Filo, Stephen B. Leapman, Morris V. French

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101 Scopus citations

Abstract

During two large outbreaks, ten episodes of histoplasmosis were documented in eight renal allograft recipients. Another episode occurred before the outbreaks. Associated infections with cytomegalovirus occurred in five patients and may have further impaired cellular immunity. Prolonged fever was the predominant clinical finding; and dissemination was observed in seven of our nine patients, including three with meningitis. Special stains of tissues and the histoplasmal complement fixation test provided useful diagnostic information rapidly, while cultures were eventually positive in seven patients. Treatment with amphotericin B resulted in prompt clinical improvement in all patients, but relapse occurred in two patients one year following therapy.

Original languageEnglish (US)
Pages (from-to)703-707
Number of pages5
JournalArchives of Internal Medicine
Volume143
Issue number4
DOIs
StatePublished - 1983

ASJC Scopus subject areas

  • Internal Medicine

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    Wheat, L. J., Smith, E. J., Sathapatayavongs, B., Batteiger, B., Filo, R. S., Leapman, S. B., & French, M. V. (1983). Histoplasmosis in Renal Allograft Recipients: Two Large Urban Outbreaks. Archives of Internal Medicine, 143(4), 703-707. https://doi.org/10.1001/archinte.1983.00350040093012