Disseminated pulmonary histoplasmosis in immunocompetent patients: a common epidemiological exposure

Abstract

We describe the initial presentation, diagnostic work-up and treatment of three adult immunocompetent men who presented within a short time frame of each other to an academic medical centre with acute respiratory distress syndrome. Their presentation was found to be secondary to a large inoculum of histoplasmosis from remodelling a building with bat droppings infestation. We discuss the pathophysiology of histoplasmosis and highlight the importance of exposure history in patients with acute respiratory failure and why patients with the occupational risk of exposure to fungal inoculum should wear protective respirator gear.

View details for DOI 10.1136/bcr-2018-227994

View details for Web of Science ID 000661378700099

View details for PubMedID 30898964

View details for PubMedCentralID PMC6453286