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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

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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
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Hamill RJ
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J Assoc Physicians India 2005 Mar;53:185-9. PMID: 15926599

Diagnosis

Adamian CMC, de Lima Mota MA, Martins AAF, Aragão MC, Carvalho MS, Meneses GC, Silva Júnior GBD, Leitão TDMJS, De Francesco Daher E
Int J STD AIDS 2022 May;33(6):544-553. Epub 2022 Mar 28 doi: 10.1177/09564624221076605. PMID: 35343333
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

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

Singh A, Gauri M, Gautam P, Gautam D, Haq M, Handa AC, Handa KK
Am J Otolaryngol 2019 Sep-Oct;40(5):678-683. Epub 2019 Jun 3 doi: 10.1016/j.amjoto.2019.06.002. PMID: 31178282
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
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Hiltbrand JB, McGuirt WF
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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
Boigues BCS, Paniago AMM, Lima GME, Nunes MO, Uehara SNO
Rev Soc Bras Med Trop 2018 Mar-Apr;51(2):155-161. doi: 10.1590/0037-8682-0369-2017. PMID: 29768547
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

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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