Acute pulmonary histoplasmosis related to occupational roofing: A case report of two brothers.

Q3 Medicine Current Medical Mycology Pub Date : 2021-12-01 DOI:10.18502/cmm.7.4.8409

Martin Gnoni, Timothy McCann, Adrian Riva-Moscoso, Fortunato S Príncipe-Meneses, Diego Chambergo-Michilot

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Abstract

Background and purpose: Histoplasma capsulatum is the cause of a prevalent fungal disease in certain regions in the United States of America, like Ohio and the Mississippi River. Its clinical manifestations range from asymptomatic to life-threatening diseases, according to the immune system. A definitive diagnosis is made by biopsy.

Case report: Two middle-aged brothers presented with a nine-day history of severe progressive dyspnea. Both were living in Cincinnati, Ohio, and encountered bird droppings 7 days prior to symptoms while working on a roofing project. It should be mentioned that they were not wearing masks. After extensive testing, they were diagnosed with acute pulmonary histoplasmosis. Both were successfully treated with azole-derivative fungal therapy.

Conclusion: This is the first case of histoplasmosis acquired through occupational exposure related to roofing and is unique given the two patients were siblings.

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职业性屋面相关急性肺组织浆菌病:兄弟二例报告。

背景和目的:在美国的某些地区，如俄亥俄州和密西西比河，荚膜组织原体是一种流行的真菌疾病的病因。根据免疫系统，其临床表现从无症状到危及生命的疾病不等。活检可作出明确诊断。病例报告:两个中年兄弟提出了九天的历史严重进行性呼吸困难。两人都住在俄亥俄州辛辛那提市，并在出现症状前7天在屋顶工程上工作时接触过鸟粪。应该提到的是，他们没有戴口罩。经过广泛的检查，他们被诊断为急性肺组织浆菌病。用唑衍生物真菌治疗均成功。结论:这是第一例通过与屋顶相关的职业暴露而获得的组织胞浆菌病，鉴于这两名患者是兄弟姐妹，这是独一无二的。

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