| Literature DB >> 30898964 |
Michael Klein1, Mirza Khan2, Jorge L Salinas3, Rolando Sanchez4.
Abstract
We describe the initial presentation, diagnostic work-up and treatment of three adult immunocompetent men who presented within a short time frame of each other to an academic medical centre with acute respiratory distress syndrome. Their presentation was found to be secondary to a large inoculum of histoplasmosis from remodelling a building with bat droppings infestation. We discuss the pathophysiology of histoplasmosis and highlight the importance of exposure history in patients with acute respiratory failure and why patients with the occupational risk of exposure to fungal inoculum should wear protective respirator gear. © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.Entities:
Keywords: occupational and environmental medicine; pneumonia (respiratory medicine); public health
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Year: 2019 PMID: 30898964 PMCID: PMC6453286 DOI: 10.1136/bcr-2018-227994
Source DB: PubMed Journal: BMJ Case Rep ISSN: 1757-790X