Pulmonary histoplasmosis

Chadi A. Hage, L. Joseph Wheat, James Loyd, Stephen D. Allen, Deborah Blue, Kenneth S. Knox

Research output: Contribution to journalReview article

39 Scopus citations

Abstract

Pulmonary manifestations of histoplasmosis were last reviewed in Seminars in 2004. This review highlights the management of the most common clinical syndromes, emphasizing recognition, diagnosis, and treatment. The reader is referred to the earlier review for subjects not fully addressed herein. Knowledge of the utility of serological testing is essential, particularly when antigen tests and cultures are negative. Antigen testing is most useful in patients with more diffuse pulmonary involvement and those with progressive disseminated disease due to the high fungal burden. Detection of antigen in bronchoalveolar lavage fluid may be particularly helpful in certain circumstances. Guidelines for antifungal therapy have been updated and will be discussed for pulmonary syndromes.

Original languageEnglish (US)
Pages (from-to)151-165
Number of pages15
JournalSeminars in Respiratory and Critical Care Medicine
Volume29
Issue number2
DOIs
StatePublished - Apr 1 2008

Keywords

  • Antigen
  • Diagnosis
  • Histoplasmosis
  • Serology
  • Treatment

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Critical Care

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    Hage, C. A., Wheat, L. J., Loyd, J., Allen, S. D., Blue, D., & Knox, K. S. (2008). Pulmonary histoplasmosis. Seminars in Respiratory and Critical Care Medicine, 29(2), 151-165. https://doi.org/10.1055/s-2008-1063854