61. Histoplasmosis En Mexico http://www.histoplas-mex.unam.mx/

62. (Veterinary Bacteriology And Mycology At The UW Madison) Canine histoplasmosis. Thought to cause infection by inhalation histoplasmosis. Pathology Tends to from granulomatous lesions http://www.vetmed.wisc.edu/students/vetmycology/histo.html

Lecture Slides Actinomycetales Antifungal Drugs Aspergillus Blastomycosis ... Zygomycosis Histoplasmosis Histoplasma capsulatum - dimorphic - Endemic in Mississippi and Ohio River valleys - Grows in bird guano - Does not infect birds! - High percentage of skin test positive in endemic areas Grows as intracellular yeast in macrophages - Not encapsulated Canine Histoplasmosis Thought to cause infection by inhalation - Causes respiratory disease - Tends to disseminate to GI. tract - Can visualize intracellular yeast in tissue Infection probably common in endemic areas - Respiratory disease - often mild or inapparent - Serious clinical disease smaller percentage of those infected Histoplasmosis - other species - Cats, horses, etc.. Human histoplasmosis - Respiratory disease - usually mild, self-limiting - Can disseminate to eyes, adrenals - Can have vision sequelae Epidemics - related to demolition of buildings, stirinng of contaminated dirt Histoplasmosis Pathology - Tends to from granulomatous lesions - Small intracellular yeast in macrophages - Can have small miliary lesions Diagnosis - Visualize yeast in mac in rectal scraping, tracheal wash

63. HISTOPLASMOSIS AIDS With Disseminated histoplasmosis From a Nonendemic Area Robert A. Delapenha, MD, FACP, AMASite Practice Guidelines for histoplasmosis Management http://www.edae.gr/histoplasmosis.html

HELLENIC ASSOCIATION DERMATOLOGY - VENEREOLOGY HISTOPLASMOSIS 1997 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections in Persons Infected with Human Immunodeficiency Virus A Phase IIB Study to Compare the Safety and Efficacy of AmBisome with Conventional Amphotericin B for Induction Therapy of Histoplasmosis in Patients with AIDS Trials Search: Online Guide to HIV Clinical Trials in the United States. HIVInSite A Review of Fungal Infections in HIV Disease Gay Men's Health Crisis Treatment Issues, Vol. 5, No. 7 - October, 1991 Gabriel Torres, M.D. AEGIS Acute Histoplasmosis HivInSite Adult Pulmonary Core Curriculum: Chronic Cavitary Histoplasmosis. Olafur Baldursson, M.D. and Michael W. Peterson, M.D. Adult Pulmonary Core Curriculum: Chronic Cavitary Agent Summary Statements: Fungal Agents - Histoplasma capsulatum AIDS With Disseminated Histoplasmosis From a Nonendemic Area Robert A. Delapenha, MD, FACP, Dawn L. Cannon, MD, Fitzroy W. Dawkins, MD, Howard University College of Medicine; Tammey J. Naab, MD, Sheryl Islam, MT (ASCP), Barbara D. Peters, MT (ASCP), Winston R. Frederick, MD, Howard University Hospital. [Infect Med 15(1):45-49, 1998. Medscape full text article.

64. Ocular Histoplasmosis Links And Stories My story with Ocular histoplasmosis and a list of informational links. http://www.bway.net/~keith/

Ocular Histoplasmosis (Presumed Ocular Histoplasmosis Syndrome, or POHS This page is designed to be readily accessible to visitors with vision problems or who use text readers. For those with issues reading the full width of the screen, narrow your browser for easier scanning. Read the page and the associated links for a great deal of information about POHS. After you've learned a bit, we have a Bulletin Board so you can ask questions and communicate with others who have POHS Informational links about POHS Overview Read the information in this link first for a comprehensive overview of POHS: Histoplasmosis and the Eye From the National Eye Institute, a great summary of ocular histoplasmosis. A must-read for those wishing to learn about the eye-related consequences of histoplasmosis. Background about histoplasmosis and more detailed information about histo and POHS Histoplasmosis, the Fungus (background about histo, nothing eye-related [nothing about ocular histoplasmosis]) Histoplasmosis as a fungus and a fungal infection. Interesting, but not directly related to Ocular Histo except for some geographical information about the incidence in the US. The Basics About Histoplasmosis (background about histo, nothing eye-related [nothing about ocular histoplasmosis])

65. In The Blink Of An Eye - Information About Histoplasmosis, POHS, And Pulmonary H A site for people suffering from histoplasmosis, information on ocular and pulmonary histoplasmosis and their treatments. A place for people with histo to http://www.golden.net/~blink/

Home Ocular Histo Pulmonary Histo Message Board ... Links This web site is about Histoplasmosis , a fairly rare disease that can affects the eyes and the lungs. It will be the attempt of the author of this site to provide information and support to , foremost, those afflicted by Histoplasmosis, and also to the general public to heighten awareness about the disease. In earlier times this web site was a personal web page for the author but it grew into more than that in time. The new version of this site contains no personal information, making it much easier to navigate and closer to the point. Message Board Information and Discussion on Ocular and Pulmonary Histoplasmosis Ocular Histoplasmosis Section Pulmonary Histoplasmosis Section Histoplasmosis Survey If you have Histo please take this survey provided by Meryl Smith. (not on this site) Ansler Grids For testing the eyes. Links For Blinks Useful Software and Hardware for Low Vision Sufferers Sign the Guestbook View the Guestbook Histoplasmosis Mailing List Thanks Laurakay!

66. Restoration Environmental Contractors (Environmental Cleanups, Pcb Removal, Soil histoplasmosis and Cleanup of Bird, Bat, Rodent and Animal Feces What is histoplasmosis? histoplasmosis is a fungal infection that affects the lungs and may http://www.environmentalhazards.com/histoplasmosis/

Abcott Construction Limited Consulting Engineers of ... Markham Waxers Environmental Abatement Council of Ontario More on Histoplasmosis - Bird, Bat, Rodent Guano - Click Here Histoplasmosis and Cleanup of Bird, Bat, Rodent and Animal Feces What is histoplasmosis? Histoplasmosis is a fungal infection that affects the lungs and may occasionally invade other parts of the body. It is an uncommon disease. In 1999, there were 15 cases reported among New York City residents (rate of 0.2 cases per 100,000 persons). Who gets histoplasmosis? Anyone can get histoplasmosis. It is recognized more often in immunocompromised individuals, such as AIDS patients. Birds (especially chickens), bats, dogs, cats, rats, skunks, opossum, foxes, and other animals can get histoplasmosis and may have a role in spreading the disease. How is histoplasmosis spread? The disease is acquired by inhaling the spore stage of the fungus. Outbreaks may occur in groups with common exposures to bird or bat droppings or recently disturbed, contaminated soil found in chicken coops, caves, etc. Person-to-person spread of histoplasmosis does not occur. What are the symptoms of histoplasmosis?

67. Histoplasmosis - Fungal Infections - Lung Infections - Lungs - Fungus Infections Bacteria and mold are not the only causes of lung infections. Fungus, such as those found in soil and bird droppings, can also cause lung infections. http://lungdiseases.about.com/od/termsdefinitions/f/histoplasmosis.htm

var zLb=1; var zIoa1 = new Array('Lung Infections','Respiratory Infections / Lung Infections','http://lungdiseases.about.com/od/lunginfections/','Pneumonia','http://lungdiseases.about.com/od/pneumon2/','Chronic Bronchitis','http://lungdiseases.about.com/od/chronicbronchitis1/'); var zIoa2 = new Array('Lung Infections Resources','Pneumonia and Bronchitis Quiz','http://lungdiseases.about.com/library/blpneumoniabronchitisquiz.htm','Tuberculosis','http://lungdiseases.about.com/od/tuberculos2/','Influenza / Flu','http://lungdiseases.about.com/od/inflluenzavirusflu/'); var zIoa3 = new Array('Histoplasmosis Resources','Ocular Histoplasmosis Syndrome','http://seniorhealth.about.com/cs/visionhealth/a/Hystoplasmosis.htm?terms=ocular+histoplasmosis+syndrome+'); zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a79' About Lung Diseases Locate a Lung Disease Occup / Enviro Lung Disease Histoplasmosis - Fungal Infections - Lung Infections - Lungs - Fungus Infections Lung Diseases Essentials Locate a Lung Disease - START HERE Are You At Risk for Getting Lung Cancer? ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Lung Diseases newsletter!

68. Histoplasmosis Chronic pulmonary histoplasmosis usually occurs in white males with Disseminated histoplasmosis infection in the immunocompromised is a rare http://www.5mcc.com/Assets/SUMMARY/TP0430.html

Histoplasmosis DESCRIPTION: Fungal infection with Histoplasma capsulatum, a dimorphic soil-dwelling saprophyte that has multiple clinical manifestations. Initial infection in the normal host is often asymptomatic. Other manifestations include a self-limited flu-like syndrome, mediastinal fibrosis, scar tissue residual, chronic cavitary disease in those with obstructive lung disease and disseminated histoplasmosis which is more frequent in the immunocompromised host and infants. H. capsulatum has worldwide distribution; the most endemic region in North America is the central U.S. The fungus exists in mycelial form in nature and in yeast phase when exposed to mammalian temperatures. Spores may remain active for up to ten years. Exposure to bird or bat excrement promotes growth of the fungus for unexplained reasons. Chronic pulmonary histoplasmosis - usually occurs in white males with obstructive lung disease and apical bullous lung pathology. These patients exhibit evidence of an indolent infectious process. Disseminated histoplasmosis infection in the immunocompromised is a rare opportunistic infection which may mimic sepsis syndrome and progress to multiple organ system failure System(s) affected: Pulmonary, Gastrointestinal, Skin/Exocrine, Hemic/Lymphatic/Immunologic

69. Histoplasmosis CHC Wausau Hospital s Medical Library and Patient Education Center provides research services and healthcare information to physicians, http://www.chclibrary.org/micromed/00051410.html

Main Search Index Definition Description Causes ... Resources Histoplasmosis Histoplasma capsulatum . If a person inhales the spores of this fungus, they may contract histoplasmosis, an infectious disease which can exist in three forms: acute or primary histoplasmosis, which causes flu-like symptoms; chronic histoplasmosis, which affects the lungs and can be fatal; and disseminated histoplasmosis, which can affect multiple body systems and is often fatal. (Illustration by Electronic Illustrators Group.) Definition Histoplasmosis is an infectious disease caused by inhaling the microscopic spores of the fungus Histoplasma capsulatum . The disease exists in three forms. Acute or primary histoplasmosis causes flu-like symptoms. Most people who are infected recover without medical intervention. Chronic histoplasmosis affects the lungs and can be fatal. Disseminated histoplasmosis affects many organ systems in the body and is often fatal, especially to people with acquired immunodeficiency syndrome ( AIDS Description Histoplasmosis is an airborne infection. The spores that cause this disease are found in soil that has been contaminated with bird or bat droppings. In the United States, the disease is most common in eastern and midwestern states and is widespread in the upper Mississippi, Ohio, Missouri, and St. Lawrence river valleys. Sometimes histoplasmosis is called Ohio Valley disease, Central Mississippi River Valley disease, Appalachian Mountain disease, Darling's disease, or

70. Information About Histoplasmosis Disease This site contains information about histoplasmosis. http://www.mamashealth.com/lung/histo.asp

Mamashealth.com Home Lung Diseases and Illnesses ARDS Asbestosis Asthma Black Lung Disease ... Tuberculosis Links Email Mama What is Histoplasmosis Histoplasmosis is a fungal infection caused by Histoplasma capsulatum Histoplasmosis affects the lungs but may spread to other organs. There may be a short period of active infection or can become chronic and spread throughout the body. When spreads, it often infects the linings of the brain, adrenal glands, and other organs. Histoplasmosis can occur almost anywhere in the world. In the United States, histoplasmosis is most common in the southeastern, mid-Atlantic, and central states. Histoplasmosis is also called Ohio River Valley fever What Causes Histoplasmosis? Histoplasmosis is caused by a fungus called Histoplasma capsulatum Histoplasma capsulatum grows as a mold in soil. usually occurs after inhalation of Histoplasma capsulatum. How is Histoplasmosis Transmitted? Histoplasmosis is transmitted via inhalation of airborne spores that contain the fungus. After the fungus is inhaled, it grows and produces more fungus. Symptoms of Histoplasmosis?

71. Histoplasmosis Related Websites. National Eye Institute histoplasmosis and the Eye What You Should Know About Ocular histoplasmosis http://www.tsbvi.edu/Education/anomalies/histoplasmosis.htm

HISTOPLASMOSIS DESCRIPTION: Disease of the choroid; caused by an invasion of a fungal organism; transmitted by airborne spores found in dried animal excrement; the peripheral fundus has "punched-out" spots similar to healed chorioretinal lesions, but smaller and less pigmented. Macular involvement may occur later (believed to be a result of earlier choroidal sensitization and subsequent reinfection); these macular lesions may progress to hemorrhagic detachments. There is no vitreous haze. There is a positive reaction to a skin test for the disease. It seems to occur more often in the eastern half of the United States. TREATMENT: Many treatments have been advocated, including systemic corticosteroids, antihistamines, and photocoagulation of perimacular leakage, but results have been questionable in all cases. Once disciform changes begin, prognosis is very poor. IMPLICATIONS: In the initial stages, when only the peripheral fundus is affected, the vision is not affected (except for peripheral scotomas, which do not usually interfere with visual functioning). If the macula becomes involved, decreased central acuity, deficient color vision, and central scotoma can cause considerable loss of visual function. Optical aids may be helpful in these cases. Related Websites: National Eye Institute- Histoplasmosis and the Eye What You Should Know About Ocular Histoplasmosis Back to Contents Back to TSBVI Education

72. Histoplasmosis - MayoClinic.com The fungus that causes the lung disease histoplasmosis lurks in soil, chicken coops and caves. Find out if you re at risk. http://www.mayoclinic.com/invoke.cfm?id=DS00517

73. Texas Department Of State Health Services, IDEAS > Histoplasmosis What are the symptoms of histoplasmosis? What does histoplasmosis cause? histoplasmosis is a mild, flulike respiratory illness. Its symptoms can include http://www.tdh.state.tx.us/ideas/histoplasmosis/faqs/

Click Here for Requested Information and Page Content Diseases: A-C Amebiasis Anthrax Arboviral Encephalitides ... Sitemap/Alphabetical Listing of Diseases and Topics Your Location: IDEAS Home Histoplasmosis Histoplasmosis ICD-9 115; ICD-10 B39 FAQs Other Sites What you should know about: Histoplasmosis (his-toh-plaz-MOH-sis) What is histoplasmosis? Histoplasmosis is a disease caused by the fungus (yeast) Histoplasma capsulatum that affects primarily the lungs. What are the symptoms of histoplasmosis? What does histoplasmosis cause? Histoplasmosis is a mild, flu-like respiratory illness. Its symptoms can include malaise (a general ill feeling), fever, chest pain, dry cough, headache, loss of appetite, shortness of breath, joint and muscle pains, chills, and hoarseness. Most infected people experience no symptoms, or have symptoms so mild that they do not seek medical attention. Symptoms appear within 5 to 18 days after infection, usually around 10 days. Some persons fail to control the infection that may then progress over the course of a few weeks or more. These patients develop either a long-lasting lung infection, called

74. Virtual Hospital: Adult Pulmonary Core Curriculum: Chronic Cavitary Histoplasmos Part II. Introduction Part III. Treatment References Media for Chronic Cavitary histoplasmosis Next Page Previous Page Section Top Title Page http://www.vh.org/adult/provider/internalmedicine/PulmonaryCoreCurric/ChronCavit

For Providers Adult Pulmonary Core Curriculum Chronic Cavitary Histoplasmosis University of Iowa Faculty: Olafur Baldursson, M.D. Associate of Medicine Michael W. Peterson,* M.D. Associate Professor of Medicine Physician CME Sponsored by: The Department of Internal Medicine University of Iowa Carver College of Medicine * Currently Professor, Department of Internal Medicine, University of CaliforniaFresno Peer Review Status: Externally Peer Reviewed by the Department of Internal Medicine Virtual Hospital Editorial Board Creation Date: April 1997 Last Revision Date: July 1997 Part I. Case Presentation Part II. Introduction Part III. Treatment References ... University of Iowa http://www.vh.org/adult/provider/internalmedicine/PulmonaryCoreCurric/ChronCavitaryHisto/PulmHisto.html

75. Virtual Hospital: Lung Cancer And Related Topics: Histoplasmosis The radiographic appearance of histoplasmosis in the chest is quite variable and can Chronic fibrocavitary histoplasmosis has a similar radiographic http://www.vh.org/adult/provider/radiology/LungTumors/PathologicTypes/Text/Histo

Lung Tumors: A Multidisciplinary Database: Pathologic Types Histoplasmosis Natisha P. Busick, B.S., Peter C. Fretz, B.S., Jeffrey R. Galvin, M.D., Michael W. Peterson, M.D., Jonathan H. Hughes, M.D., PhD Peer Review Status: Internally Peer Reviewed The appropriate evaluation of a lung nodule is a significant clinical challenge. There are many potential causes for lung nodules, however as clinicians we are most concerned with the separation of malignant and inflammatory disease. This is an important distinction because the diagnostic and therapeutic approach differs significantly for the two disease categories. Infectious causes of lung nodules will differ among different geographic areas. In the great river valleys of the central United States, the most common cause of infectious lung nodule is Histoplasma capsulatum infection. The organism Histoplasma capsulatum was first described in 1906 by Dr. Samuel Darling in the Panama Canal Zone. The name referred to his belief that the organism, found in reticuloendothelial cells, was an encapsulated plasmodium. The name persists despite the fact that it is now known to be a non-encapsulated yeast. The organism is found world wide, but in the United States it is endemic to the Mississippi and Ohio River valleys. High concentrations of the organism can be found in bird roosts, caves inhabited by bats, school yards, areas with rotten or decaying wood, and chicken coops. Human activities in and around theses regions may lead to infection. In all cases, the lung is the point of entry. In the 1940's a skin test was developed by Christie and Peterson for histoplasmin, and it was soon found that vast numbers of people in endemic areas had positive tests but were asymptomatic. Shortly thereafter large numbers of people with calcified lung lesions on radiographs and a negative tuberculin skin test were found to have positive histoplasmin skin tests.

76. Dr. Koop - Histoplasmosis - Chronic Pulmonary Chronic pulmonary histoplasmosis is a chronic respiratory infection caused by inhaling the spores of the fungus, This fungus is commonly found in the soil http://www.drkoop.com/ency/93/000099.html

Home Health Reference Histoplasmosis - chronic pulmonary Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Histoplasmosis - chronic pulmonary Injury Disease Nutrition Poison ... Prevention Histoplasmosis - chronic pulmonary Definition: Chronic pulmonary histoplasmosis is a chronic respiratory infection caused by inhaling the spores of the fungus, Histoplasma capsulatum. This fungus is commonly found in the soil in states along the Mississippi or Ohio river valleys of the US. Alternative Names: Chronic cavitary histoplasmosis Causes, incidence, and risk factors: Histoplasmosis is caused by a fungus found in the soil of the central and eastern United States (especially Mississippi and Ohio river valleys), eastern Canada, Mexico, Central America, and South America. The primary infection (acute histoplasmosis) usually causes no symptoms, or only mild disease that is easily overcome by an normal immune system. Chronic pulmonary histoplasmosis occurs in individuals with structurally abnormal lungs, such as smokers with emphysema or

77. Dr. Koop - Histoplasmosis - Disseminated Disseminated histoplasmosis is an infection caused by inhaling the of the fungus Histoplasma capsulatum, which is found in moist soil areas common along http://www.drkoop.com/ency/93/000101.html

Home Health Reference Histoplasmosis - disseminated Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Histoplasmosis - disseminated Injury Disease Nutrition Poison ... Prevention Histoplasmosis - disseminated Definition: Disseminated histoplasmosis is an infection caused by inhaling the spores of the fungus Histoplasma capsulatum, which is found in moist soil areas common along river valleys, such as the Mississippi and Ohio River Valleys. It involves. Alternative Names: Systemic histoplasmosis Causes, incidence, and risk factors: Histoplasmosis is caused by a fungus found in the central and eastern U.S. Mississippi and Ohio River Valley), eastern Canada, Mexico, Central America, South America, Africa, and Southeast Asia. Most cases are mild or without symptoms. Acute pulmonary histoplasmosis may occur in epidemics. Progressive or spreading (disseminated) and chronic disease can also occur. In disseminated disease, the infection is spread to other organs of the body from the lungs via the bloodstream. The liver and spleen are usually enlarged, and all body organs can be involved. Ulcerations of the mouth or gastrointestinal tract may occur. Risk factors are travel to or residence within the central or eastern U.S., and exposure to the droppings of birds and bats.

78. Fungal Infections: Histoplasmosis Antigen levels are obtained at the histoplasmosis Reference Laboratory in Itraconazole is the maintenance treatment of choice for histoplasmosis. http://www.hivpositive.com/f-Oi/OppInfections/4-Fungal/4-Fun-Histoplas.html

Histoplasmosis Pathogen Sites of Infection Symptoms Diagnosis ... Return to the Histoplasmosis Menu Pathogen: Histoplasma capsulatum , a fungus endemic to the south-central U.S. and South America, and found in soil contaminated by bird droppings or other organic material. After inhalation, the spores germinate into the yeast form. Patients with compromised immune systems, e.g. AIDS with CD4+ counts < 100 cells/mm , are particularly susceptible in endemic areas. Return to the Histoplasmosis Menu Sites of Infection: Wide-spread dissemination occurs in most patients, most frequently in the lungs and less frequently in the skin and G.I. system. Return to the Histoplasmosis Menu Symptoms: Fever, weight loss, nodular or ulcerative skin lesions, respiratory complaints, anemia, and enlargement of the liver, spleen, and lymph nodes. Return to the Histoplasmosis Menu Diagnosis: By blood or bone marrow culture, biopsy of involved tissue, or detection of 11 capsulatum variety capsulatum polysaccharide antigen detection in urine, serum, bronchioalveolar lavage, or CSF. Antigen levels can be followed to monitor therapy and diagnose relapse. Antigen levels are obtained at the Histoplasmosis Reference Laboratory in Indianapolis, Indiana (800-HISTO-DG). Return to the Histoplasmosis Menu Treatment Results: Wheat et al. enrolled 59 patients in a study (ACTG 120) of open-label itraconazole for the treatment and prevention of relapse of acute histoplasmosis. All subjects received 300 mg PO twice daily for 3 days followed by a 12 week course (200 mg twice daily). Fifty of 59 (85%) patients responded to treatment (clearance of fungermia) and were continued on itraconazole maintenance treatment (200 to 400 mg PO daily) for at least one year. Of the nine non-responders, six failed treatment, two experienced toxicity, one was lost to follow-up.

79. Histoplasmosis And HIV Infection 5,6) In patients with advanced HIV infection, histoplasmosis is almost histoplasmosis may be accompanied by a second opportunistic infection in as many http://hivinsite.ucsf.edu/InSite?page=kb-05-02-06

80. Nebraska HHS System: Histoplasmosis histoplasmosis is an infectious disease caused by inhaling the spores of a fungus called This form of the disease is called disseminated histoplasmosis, http://www.hhs.state.ne.us/epi/histo.htm

Histoplasmosis Histoplasmosis is an infectious disease caused by inhaling the spores of a fungus called Histoplasma capsulatum . Its symptoms vary greatly, but the disease primarily affects the lungs. Occasionally, other organs are affected. This form of the disease is called disseminated histoplasmosis, and it can be fatal if untreated. Many infected people are asymptomatic (have no apparent ill effects), or they experience symptoms so mild they do not seek medical attention and may not even realize what their illness was. When do symptoms start? If symptoms occur they will usually start within 3 to 17 days after exposure, the average is 10 days. What are the symptoms of histoplasmosis? Most infected persons have no apparent ill effects. The acute respiratory disease is characterized by respiratory symptoms, a general ill feeling, fever, chest pains, and a dry or nonproductive cough. Distinct patterns may be seen on a chest x-ray. Chronic lung disease resembles tuberculosis and can worsen over months or years. The disseminated form is fatal unless treated. Is histoplasmosis treatable?

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