Histoplasmosis Case Study

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Chapter Three: Histoplasma Capsulatum This final microbe is far less dangerous and easier to comprehend than the formerly mentioned ones. Histoplasma Capsulatum, often called histoplasmosis, is caused by a fungus called Histoplasma (1). This fungus thrives within earthy environments with lots of soil filled with bird and bat droppings (1). It is found mainly in the United States, specifically within the central and eastern states, such as around the Ohio and Mississippi river valleys (1). The fungus can also be found within central and South America, Africa, Asia, Australia, and small parts of Europe (1). While most people do not get sick, those who do become infected when breathing in the microscopic fungal spores in the air (1). Symptoms …show more content…

For medical care, no treatment is needed for those who are asymptomatic, just monitoring for mild symptoms (2). For those who cannot fight the disease as easily as the majority, there are an array of treatments available. To start, blood cultures should be performed in all patients, and sputum cultures should be taken for those with chronic histoplasmosis (2). Chest radiology would be preferred for individuals with acute pulmonary histoplasmosis, steroids and possible laser treatment for ocular histoplasmosis, and CT scans for those with cerebral histoplasmosis (2). With prolonged symptoms of more than 4 weeks, medical therapy via itraconazole is recommended for 6-12 weeks, followed by chest imaging (2). Bronchiectasis caused by the microbe is treated with either a bronchoscopy or surgical removal (3). Phrenological treatments to histoplasmosis include amphorcetericin B, ketoconazole, itraconazole, and fluconazole (3). Currently, antifungal agents are being developed to offer alternative treatment (3). To successfully survive as a pathogen, the virus must change itself on a micro level to survive changing conditions, macrophages, and other threats to the fungi’s reproduction (4). Being able to go from an environmental mold to an intercellular yeast is extremely useful for a microbe in an ecosystem that fights for control of those it infects (4). These advantages present within histoplasmosis are what keeps it as a cause of respiratory and systemic disease in mammals (4). There are plenty of treatments available to accommodate all forms of histoplasmosis, making it a microbe that is very simple to cure, despite how hard it tries to

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