تعريف

Histoplasmosis is a fungal infection that often causes a respiratory illness.

أسباب

Histoplasmosis is caused by infection with a fungus. Humans become infected by exposure to bird and bat droppings.

عوامل الخطر

Factors that increases your chance of getting histoplasmosis include:

  • Having a job that puts you in contact with bird or bat droppings (such as an aviary)
  • Being involved in activities that put you in contact with bird or bat droppings (such as cave exploration)
  • Keeping birds as pets
  • Living along river valleys
  • Living in Mississippi, Ohio, Kentucky, Illinois, Indiana, Missouri, or Tennessee
  • Living in eastern Canada, Mexico, Central or South America, parts of the Caribbean, southeast Asia, or Africa
  • Having recently traveled to a location where histoplasmosis is common
  • Having a medical condition that weakens your immune system (especially HIV)

الأعراض

Many patients may not have any symptoms.

قد تشمل الأعراض ما يلي:

  • ضعف
  • الصداع
  • Achy muscles
  • الم المفاصل
  • حمى
  • قشعريرة
  • Malaise (a feeling of discomfort or uneasiness)
  • Hemoptysis (spitting out blood)
  • ألم في الصدر
  • سعال
  • ضيق في التنفس
  • فقدان الوزن
  • Mouth sores
  • تضخم الكبد والطحال
  • Skin rashes
  • فقدان البصر

التشخيص

سوف يسألك الطبيب عن الأعراض والتاريخ الطبي. اختبار فيزياء سوف يتم.

قد تشمل الاختبارات ما يلي:

  • تحاليل الدم
  • Blood culture
  • Sputum culture
  • Pulmonary function test
  • Skin testing
  • Urine antigen testing
  • X-rays of chest and/or abdomen
  • Bone marrow tests

داء النوسجات

العلاج

Antifungal Medications

These may include amphotericin B or itraconazole. Patients with AIDS may require treatment with an antifungal medication for the rest of their lives to prevent further attacks of histoplasmosis.

الوقاية

If you might be exposed to bird or bat droppings, wear a face mask. If you have a weakened immune system, completely avoid bird and bat droppings.

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