An Outbreak of Acute Pulmonary Histoplasmosis in Members of a Trekking Trip in Martinique, French West Indies

Salomon, Jérôme; Saillour, M.; Truchis, Pierre de; Bougnoux, Marie Elisabeth; Dromer, Françoise; Dupont, B.; Saint-Hardouin, G. De; Perronne, C.

doi:10.2310/7060.2003.31755

Cited by 35 publications

(16 citation statements)

References 14 publications

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“…A review of the worldwide epidemiology of histoplasmosis demonstrates the importance of considering it in the differential diagnosis of travelers returning with illness. Some of the cases among travelers that have been published include 14 American tourists who became infected after exploring a bat‐infested cave in Nicaragua (52), a German tourist who developed disseminated histoplasmosis after a trip to Ecuador (53), 10 cases of acute histoplasmosis among Italian researchers visiting the Otonga rainforest in Ecuador (54), 5 cases among Japanese tourists after visiting a cave in Brazil (55), 13 cases among French tourists after trekking through a mountain tunnel in Martinique (56), infections in Belgian patients who had previously lived in Africa (57), and infection in a Dutch traveler after visiting Ghana (58); none of these travelers had visited Bangladesh.…”

Section: Discussionmentioning

confidence: 99%

Expanding the horizons of histoplasmosis: disseminated histoplasmosis in a renal transplant patient after a trip to Bangladesh

Rappo

Beitler

Faulhaber

et al. 2010

Transplant Infectious Disease

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Histoplasmosis is recognized to occur in the Ohio and Mississippi River Valleys of the United States, but less widely appreciated is its worldwide distribution. We report a case of disseminated histoplasmosis with disease involving skin, lungs, and epiglottis in a renal transplant patient 6 months after a trip to Bangladesh, to highlight the potential risk of acquisition of this infection in the Indian subcontinent.

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Section: Discussionmentioning

confidence: 99%

Expanding the horizons of histoplasmosis: disseminated histoplasmosis in a renal transplant patient after a trip to Bangladesh

Rappo

Beitler

Faulhaber

et al. 2010

Transplant Infectious Disease

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“…Therefore, visits to bat-infested caves in endemic areas have been associated with both multiple clusters and sporadic cases of acute histoplasmosis [4,5,49]. Even trekking through a bat-infested tunnel in an endemic area has been reported to have resulted in an outbreak of this infection [95].…”

Section: Hobbies and Ifismentioning

confidence: 99%

Occupation, Lifestyle, Diet, and Invasive Fungal Infections

Sipsas

Kontoyiannis

2008

Infection

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Many professions, especially those involving outdoor activities, are associated with increased environmental exposure to pathogenic fungi and, subsequently, increased risk of IFIs. Inhalation and direct inoculation through minor skin lesions are the most common mechanisms of fungal infection. In addition, different lifestyle practices, such as smoking tobacco or marijuana, body piercing, tattooing, use of illicit intravenous drugs, and pet ownership, various outdoor leisure activities, such as gardening, camping, spelunking, and hunting, and traveling to endemic areas are associated with an increased risk of IFIs. Finally, some modern diet habits dictate the consumption of food or herbal products harboring pathogenic fungi or fungal toxins, which may cause IFIs in susceptible individuals.

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“…2,3 Additionally, it is a ''traveler's disease'', based on outbreaks in those who travel from nonendemic to endemic regions. 3,4 Most cases are acquired by inhalation of H. capsulatum microconidia (spores), after the soil they inhabit becomes disturbed by human activity. 5 Clinical manifestations of disease following infection with H. capsulatum depend, in part, on fungal burden and host immune function.…”

Section: Introductionmentioning

confidence: 99%