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Disseminated histoplasmosis

MedGen UID:
575913
Concept ID:
C0343900
Disease or Syndrome
Synonyms: Disseminated Histoplasmosis; Histoplasmosis, Disseminated
 
HPO: HP:0032257

Definition

Histoplasmosis infection involving multiple sites of the body. Disseminated histoplasmosis can involve various organs, including reticuloendothelial organs, gastrointestinal tract, adrenal glands, central nervous system, endovascular structures, kidney, and skin. It typically presents with systemic symptoms like fever, generalized fatigue, night sweats, weight loss, and the symptoms related to the specific organ involved. Severe disseminated disease can manifest as septic shock, multi organ failure, and ARDS. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDisseminated histoplasmosis

Conditions with this feature

Autoimmune enteropathy and endocrinopathy - susceptibility to chronic infections syndrome
MedGen UID:
481620
Concept ID:
C3279990
Disease or Syndrome
IMD31C is a disorder of immunologic dysregulation with highly variable manifestations resulting from autosomal dominant gain-of-function mutations in STAT1 (600555). Most patients present in infancy or early childhood with chronic mucocutaneous candidiasis (CMC). Other highly variable features include recurrent bacterial, viral, fungal, and mycoplasmal infections, disseminated dimorphic fungal infections, enteropathy with villous atrophy, and autoimmune disorders, such as hypothyroidism or diabetes mellitus. A subset of patients show apparently nonimmunologic features, including osteopenia, delayed puberty, and intracranial aneurysms. Laboratory studies show increased activation of gamma-interferon (IFNG; 147570)-mediated inflammation (summary by Uzel et al., 2013 and Sampaio et al., 2013).

Professional guidelines

PubMed

Kuate MPN, Nyasa R, Mandengue C, Tendongfor N, Bongomin F, Denning DW
J Microbiol Methods 2021 Jun;185:106226. Epub 2021 Apr 18 doi: 10.1016/j.mimet.2021.106226. PMID: 33878445
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Recent clinical studies

Etiology

Pasqualotto AC, Lana DD, Godoy CSM, Leitão TDMJS, Bay MB, Damasceno LS, Soares RBA, Kist R, Silva LR, Wiltgen D, Melo M, Guimarães TF, Guimarães MR, Vechi HT, de Mesquita JRL, Monteiro GRG, Adenis A, Bahr NC, Spec A, Boulware DR, Israelski D, Chiller T, Falci DR
Clin Infect Dis 2023 Oct 13;77(8):1126-1132. doi: 10.1093/cid/ciad313. PMID: 37232940Free PMC Article
Locatelli F, Jordan MB, Allen C, Cesaro S, Rizzari C, Rao A, Degar B, Garrington TP, Sevilla J, Putti MC, Fagioli F, Ahlmann M, Dapena Diaz JL, Henry M, De Benedetti F, Grom A, Lapeyre G, Jacqmin P, Ballabio M, de Min C
N Engl J Med 2020 May 7;382(19):1811-1822. doi: 10.1056/NEJMoa1911326. PMID: 32374962
Hamill RJ
Drugs 2013 Jun;73(9):919-34. doi: 10.1007/s40265-013-0069-4. PMID: 23729001
McKinsey DS, McKinsey JP
Semin Respir Crit Care Med 2011 Dec;32(6):735-44. Epub 2011 Dec 13 doi: 10.1055/s-0031-1295721. PMID: 22167401
Subramanian S, Abraham OC, Rupali P, Zachariah A, Mathews MS, Mathai D
J Assoc Physicians India 2005 Mar;53:185-9. PMID: 15926599

Diagnosis

Sevestre J, Hasseine L
N Engl J Med 2019 Mar 14;380(11):e13. doi: 10.1056/NEJMicm1809792. PMID: 30865801
McKinsey DS, McKinsey JP
Semin Respir Crit Care Med 2011 Dec;32(6):735-44. Epub 2011 Dec 13 doi: 10.1055/s-0031-1295721. PMID: 22167401
Subramanian S, Abraham OC, Rupali P, Zachariah A, Mathews MS, Mathai D
J Assoc Physicians India 2005 Mar;53:185-9. PMID: 15926599
Kahi CJ, Wheat LJ, Allen SD, Sarosi GA
Am J Gastroenterol 2005 Jan;100(1):220-31. doi: 10.1111/j.1572-0241.2005.40823.x. PMID: 15654803
Wolf J, Blumberg HM, Leonard MK
Am J Med Sci 2004 Mar;327(3):160-2. doi: 10.1097/00000441-200403000-00009. PMID: 15090756

Therapy

Pasqualotto AC, Lana DD, Godoy CSM, Leitão TDMJS, Bay MB, Damasceno LS, Soares RBA, Kist R, Silva LR, Wiltgen D, Melo M, Guimarães TF, Guimarães MR, Vechi HT, de Mesquita JRL, Monteiro GRG, Adenis A, Bahr NC, Spec A, Boulware DR, Israelski D, Chiller T, Falci DR
Clin Infect Dis 2023 Oct 13;77(8):1126-1132. doi: 10.1093/cid/ciad313. PMID: 37232940Free PMC Article
Locatelli F, Jordan MB, Allen C, Cesaro S, Rizzari C, Rao A, Degar B, Garrington TP, Sevilla J, Putti MC, Fagioli F, Ahlmann M, Dapena Diaz JL, Henry M, De Benedetti F, Grom A, Lapeyre G, Jacqmin P, Ballabio M, de Min C
N Engl J Med 2020 May 7;382(19):1811-1822. doi: 10.1056/NEJMoa1911326. PMID: 32374962
Hamill RJ
Drugs 2013 Jun;73(9):919-34. doi: 10.1007/s40265-013-0069-4. PMID: 23729001
McKinsey DS, McKinsey JP
Semin Respir Crit Care Med 2011 Dec;32(6):735-44. Epub 2011 Dec 13 doi: 10.1055/s-0031-1295721. PMID: 22167401
Bradsher RW
Clin Infect Dis 1996 May;22 Suppl 2:S102-11. doi: 10.1093/clinids/22.supplement_2.s102. PMID: 8722836

Prognosis

Sevestre J, Hasseine L
N Engl J Med 2019 Mar 14;380(11):e13. doi: 10.1056/NEJMicm1809792. PMID: 30865801
Sun NZ, Augustine JJ, Gerstenblith MR
Clin Transplant 2014 Oct;28(10):1069-74. Epub 2014 Jul 17 doi: 10.1111/ctr.12409. PMID: 24961319
Corti ME, Cendoya CA, Soto I, Esquivel P, Trione N, Villafañe MF, Corbera KM, Helou S, Negroni R
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Hiltbrand JB, McGuirt WF
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Davies SF
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Clinical prediction guides

Nacher M, Alsibai KD, Valdes A, Abboud P, Adenis A, Blaizot R, Blanchet D, Demar M, Djossou F, Epelboin L, Misslin C, Ntab B, Sabbah N, Couppié P
Front Cell Infect Microbiol 2021;11:619459. Epub 2021 Mar 15 doi: 10.3389/fcimb.2021.619459. PMID: 33791237Free PMC Article
Locatelli F, Jordan MB, Allen C, Cesaro S, Rizzari C, Rao A, Degar B, Garrington TP, Sevilla J, Putti MC, Fagioli F, Ahlmann M, Dapena Diaz JL, Henry M, De Benedetti F, Grom A, Lapeyre G, Jacqmin P, Ballabio M, de Min C
N Engl J Med 2020 May 7;382(19):1811-1822. doi: 10.1056/NEJMoa1911326. PMID: 32374962
Lv X, Jiang M, He R, Li M, Meng J
Clin Respir J 2020 Apr;14(4):307-313. Epub 2020 Feb 11 doi: 10.1111/crj.13125. PMID: 31811751
Sirait SP, Bramono K, Hermanto N
Int J Dermatol 2017 Sep;56(9):926-931. Epub 2017 Jul 5 doi: 10.1111/ijd.13679. PMID: 28677260
Vidya KM, Rao UK, Nittayananta W, Liu H, Owotade FJ
Oral Dis 2016 Apr;22 Suppl 1:158-65. doi: 10.1111/odi.12437. PMID: 27109283

Recent systematic reviews

Murray M, Hine P
Cochrane Database Syst Rev 2020 Apr 28;4(4):CD013594. doi: 10.1002/14651858.CD013594. PMID: 32343003Free PMC Article
Baker J, Setianingrum F, Wahyuningsih R, Denning DW
Emerg Microbes Infect 2019;8(1):1139-1145. doi: 10.1080/22221751.2019.1644539. PMID: 31364950Free PMC Article
Cano-Torres JO, Olmedo-Reneaum A, Esquivel-Sánchez JM, Camiro-Zuñiga A, Pérez-Carrisoza A, Madrigal-Iberri C, Flores-Miranda R, Ramírez-González LE, Belaunzarán-Zamudio PF
Med Mycol 2019 Oct 1;57(7):791-799. doi: 10.1093/mmy/myy143. PMID: 30668766
Staffolani S, Buonfrate D, Angheben A, Gobbi F, Giorli G, Guerriero M, Bisoffi Z, Barchiesi F
BMC Infect Dis 2018 Dec 18;18(1):673. doi: 10.1186/s12879-018-3476-z. PMID: 30563472Free PMC Article
Falci DR, Hoffmann ER, Paskulin DD, Pasqualotto AC
Braz J Infect Dis 2017 Jan-Feb;21(1):7-11. Epub 2016 Nov 19 doi: 10.1016/j.bjid.2016.09.012. PMID: 27875685Free PMC Article

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