Histoplasmosis - Histoplasma capsulatum 

Found in Spelunkers. Caves. Bat and Bird droppings

Distribution: Mississippi and Ohio River Valleys

Clinical:

 • Most patients remain asymptomatic 

 • Disseminated infection more common in immunocompromised 

 • Primary infection: Flu-like 

 • Chronic infection: TB-like 

Treatment:

 • Antifungal 



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