Surgical Management of Focalized Pulmonary Histoplasmosis

Surgical aspects of pulmonary histoplasmosis: A series of 110 cases

“…The majority of the patients in this group presented diagnostic problems, and the most frequent indication for surgery was to aid in the establishment of diagnosis. Our experience with focal histoplasmosis parallels that of Puckett (1953) an Forsee, Puckett, and Hagman (1953), in that in no patient had H. capsulatum been cultured pre-operatively and the organism was cultured rarely after surgery. The diagnosis was established by demonstrating organisms resembling H. capsulatum in the pathological specimen.…”

Surgical Aspects of Histoplasmosis

“…Noteworthy exceptions are the reviews of Forsee,11 Takaro,12 Curry,13 Polk (Fig 2, 3), which were clinically sufficiently suspect to warrant thoracotomy. Cavitary lesions ( Fig 4 ), nonresolving infiltrating lesions (Fig 5), "mid¬ dle lobe syndrome" (Fig 6), and mediastinal lymphadenopathy (Fig 7 and 8 (19) Wilson & Duryea (20) Sutliff et al (18) Matthiesen (21) Maclnnis (22) Davis et al (23) Houson et al (24) Hughes (17) Polk et al (14) Sweany et al (25) Zimmerman (26) Baum & Schwarz (15) Greendyke & Emerson (27) Baum et al (29) Walker & James (30) Rubin …”