Histoplasmosis

Todayโ€™s path rounds are on ๐ก๐ข๐ฌ๐ญ๐จ๐ฉ๐ฅ๐š๐ฌ๐ฆ๐จ๐ฌ๐ข๐ฌ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐‡๐ข๐ฌ๐ญ๐จ๐ฉ๐ฅ๐š๐ฌ๐ฆ๐จ๐ฌ๐ข๐ฌ is a fungal infection caused by ๐‡๐ข๐ฌ๐ญ๐จ๐ฉ๐ฅ๐š๐ฌ๐ฆ๐š ๐œ๐š๐ฉ๐ฌ๐ฎ๐ฅ๐š๐ญ๐ฎ๐ฆ. This very tiny fungus is found worldwide, however it is most common in the Mississippi and Ohio River valleys.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Any species can get this!

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
Histoplasma is found primarily in bird and bat manure. When the manure is deposited onto soil, the fungus begins to produce ๐ฆ๐ฒ๐œ๐ž๐ฅ๐ข๐š, a long, spindle-like form that can extend deep into the soil. Under the right conductions, the mycelia can form ๐ฒ๐ž๐š๐ฌ๐ญ๐ฌ, which are the infective form of the fungus. Most of the time, animals acquire the fungus by inhaling it, however it can also be acquired through ingesting the yeast.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
The yeasts quickly enter the bloodstream, and spread throughout the body. They can set up shop in any organ, producing ๐ ๐ซ๐š๐ง๐ฎ๐ฅ๐จ๐ฆ๐š๐ญ๐จ๐ฎ๐ฌ inflammation โ€” inflammation with a lot of ๐ฆ๐š๐œ๐ซ๐จ๐ฉ๐ก๐š๐ ๐ž๐ฌ, the bodyโ€™s main clean-up cell. This inflammation can severely damage the organ tissues, causing organ failure. In particular, Histoplasma likes to live in the eyes, lungs, liver, skin and lymph nodes.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Diagnosis usually involves ๐œ๐ฒ๐ญ๐จ๐ฅ๐จ๐ ๐ฒ, where a sample of cells are taken from a tissue and examined under the microscope. For Histoplasma, often an enlarged lymph node is sampled. Under the microscope, the yeasts are small and round, with a thin wall around them.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Antifungal medications like ๐ข๐ญ๐ซ๐š๐œ๐จ๐ง๐š๐ณ๐จ๐ฅ๐ž are the most effective treatment against Histoplasma. Often these treatments must be given for long periods of time.

๐๐ก๐จ๐ญ๐จ๐ฌ
1-3) Histoplasma under the microscope! Theyโ€™re kind of cute ๐Ÿ’•
4-5) Lungs showing serious granulomatous inflammation.

๐’๐จ๐ฎ๐ซ๐œ๐ž
Taboada J. Histoplasmosis. Merck Veterinary Manual 2020.

Photos 1-2 ยฉ Cells and Smears Veterinary Clinical Pathology Digital Database.
Photos 3-5 ยฉ Noahโ€™s Arkive contributor Morris, King, Camus licensed under CC BY-SA 4.0.

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