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Acute pulmonary histoplasmosis: a case series from an outbreak in Southeastern Brazil. 2023
Danyelle Cristina de Souza, and
Antonio Augusto Rodrigues-Neto, and
Graziela Mululo Bianco Monnerat, and
Mayra Sardou, and
Patrícia Lima Hottz, and
Josiana de Oliveira, and
Billy McBenedict, and
Remberto Maurício de La Cruz Vargas Vilte, and
Sandra Costa Fonseca, and
Ezequias Batista Martins
Hospital Unimed Nova Friburgo, Nova Friburgo, Rio de Janeiro, Brazil.
Histoplasmosis is a systemic mycosis prevalent in the Americas. Humans become infected via the respiratory route by inhaling aerosols from soil contaminated with bird and bat excretions. Acute pulmonary histoplasmosis is usually asymptomatic and is more often a self-limiting illness. We report a series of seven acute pulmonary cases in adults during an outbreak in Nova Friburgo city, Rio de Janeiro State, Brazil, in a group of volunteers who were cleaning an old, abandoned house without using personal protective equipment. The patients had a favorable evolution after suitable treatment, but all required hospitalization.
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