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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

Sekiguchi WK, de Oliveira VF, Cavassin FB, Taborda M, Gonçalves Kono Magri AS, da Cruz ICLV, Vidal JE, Falci DR, Silva de Miranda Godoy C, de Bastos Ascenço Soares R, de Oliveira CS, Mendes AVA, Breda GL, Rego CM, Félix MA, Katopodis PP, da Silva do Ó JR, Abrão MPL, Baú-Carneiro JL, Pereira TTT, Queiroz-Telles F, Mihailenko Chaves Magri M
J Antimicrob Chemother 2024 Oct 1;79(10):2598-2606. doi: 10.1093/jac/dkae264. PMID: 39074040
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
Azar MM, Hage CA
Clin Chest Med 2017 Sep;38(3):403-415. Epub 2017 May 17 doi: 10.1016/j.ccm.2017.04.004. PMID: 28797485

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

Siegrist EA, Thomas C, Khawandanah M, Sassine J
Transpl Infect Dis 2023 Dec;25(6):e14089. Epub 2023 Jun 15 doi: 10.1111/tid.14089. PMID: 37323093
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

Prognosis

Dorkenoo AM, Adjetey-Toglozombio AK, Ocansey BK, Sossou E, Lack F, Denning DW
Mycoses 2021 Dec;64(12):1535-1541. Epub 2021 Oct 13 doi: 10.1111/myc.13377. PMID: 34596932
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
AIDS Patient Care STDS 2000 Mar;14(3):149-54. doi: 10.1089/108729100317939. PMID: 10763544
Hiltbrand JB, McGuirt WF
South Med J 1990 Feb;83(2):227-31. doi: 10.1097/00007611-199002000-00024. PMID: 2406937

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
Silva TC, Treméa CM, Zara AL, Mendonça AF, Godoy CS, Costa CR, Souza LK, Silva MR
Mycoses 2017 Jan;60(1):59-65. Epub 2016 Sep 14 doi: 10.1111/myc.12551. PMID: 27625302
Zhu LL, Wang J, Wang ZJ, Wang YP, Yang JL
World J Gastroenterol 2016 Apr 21;22(15):4027-33. doi: 10.3748/wjg.v22.i15.4027. PMID: 27099446Free PMC Article

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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