Pulmonary Histoplasmosis in a Referral Hospital in Mexico City

Table 1

Patients with acute histoplasmosis.

Age/gender	Risk factors	Days onset	Symptoms	Imaging CT	Diagnosis	Treatment	Follow-up
42male	Practice; speleology, endemic area	18	Fever, dyspnea, chest pain	Consolidation, pleural effusion, HA	Bronchoalveolar lavage, histoplasmin +	Itraconazole for 12 weeks	1 year
38female	Endemic area	10	Fever, chest pain	Consolidation, pleural effusion	Bronchoalveolar lavage, histoplasmin +	Itraconazole for 6 weeks	6 months
56male	Smoking, endemic area	6	Fever, dyspnea, hemoptysis, weight loss	Consolidation, solitary pulmonary nodule, HA	Bronchoalveolar lavage and thoracoscopy biopsy	AmB, methylprednisolone	Died
51female	Wood smoke	5	Fever, dyspnea, chest pain	Consolidation, pleural effusion	Bronchoalveolar lavage	Itraconazole for 12 weeks	1 year
55male	Smoking	8	Dyspnea, hemoptysis, chest pain	Consolidation, pleural effusion	Histoplasmin +, bronchoalveolar lavage	AmB for 2 weeks followed by itraconazole for 10 weeks methylprednisolone	1 year
49female	Endemic area	11	Fever, hemoptysis	Consolidation, hilar adenopathy	Histoplasmin +, bronchoalveolar lavage	Itraconazole for 6 weeks	6 months
40male	Practice speleology, endemic area	7	Fever, dyspnea, chest pain	Consolidation, pleural effusion	Histoplasmin +, bronchoalveolar lavage	Itraconazole for 12 weeks	1 year
50female	None	13	Fever, dyspnea, chest pain	Consolidation, pleural effusion, HA	Histoplasmin +, bronchoalveolar lavage	Itraconazole for 6 weeks	6 months
47male	Practice speleology, endemic area	4	Fever, chest pain, weight loss	Consolidation, pleural effusion	Histoplasmin +, bronchoalveolar lavage	Itraconazole for 12 weeks	1 year
41male	Practice speleology, endemic area	29	Dyspnea, hemoptysis, weight loss	Consolidation, cavern, HA	Bronchoalveolar lavage and thoracoscopy biopsy	AmB	Died

HA : Hilar adenopathy; AmB: amphotericin B.