Histoplasmosis: A systematic review to inform the World Health Organization of a fungal priority pathogens list Article Swipe
Aiken Dao
,
Hannah Yejin Kim
,
Catriona Halliday
,
Rita Oladele
,
Volker Rickerts
,
Nelesh P. Govender
,
Jong Hee Shin
,
Jutta Heim
,
Nathan Ford
,
Saskia Andrea Nahrgang
,
Valeria Gigante
,
Justin Beardsley
,
Hatim Sati
,
C. Orla Morrissey
,
Jan‐Willem C. Alffenaar
,
Ana Alastruey‐Izquierdo
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/mmy/myae039
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/mmy/myae039
Histoplasmosis, a significant mycosis primarily prevalent in Africa, North and South America, with emerging reports globally, poses notable health challenges, particularly in immunocompromised individuals such as people living with HIV/AIDS and organ transplant recipients. This systematic review, aimed at informing the World Health Organization’s Fungal Priority Pathogens List, critically examines literature from 2011 to 2021 using PubMed and Web of Science, focusing on the incidence, mortality, morbidity, antifungal resistance, preventability, and distribution of Histoplasma. We also found a high prevalence (22%–44%) in people living with HIV, with mortality rates ranging from 21% to 53%. Despite limited data, the prevalence of histoplasmosis seems stable, with lower estimates in Europe. Complications such as central nervous system disease, pulmonary issues, and lymphoedema due to granuloma or sclerosis are noted, though their burden remains uncertain. Antifungal susceptibility varies, particularly against fluconazole (MIC: ≥32 mg/l) and caspofungin (MICs: 4–32 mg/l), while resistance to amphotericin B (MIC: 0.125–0.16 mg/l), itraconazole (MICs: 0.004–0.125 mg/l), and voriconazole (MICs: 0.004–0.125 mg/l) remains low. This review identifies critical knowledge gaps, underlining the need for robust, globally representative surveillance systems to better understand and combat this fungal threat.
Related Topics
Concepts
Histoplasmosis
Voriconazole
Caspofungin
Itraconazole
Fluconazole
Histoplasma
Medicine
Incidence (geometry)
Amphotericin B
Aspergillosis
Cryptococcal meningitis
Intensive care medicine
Environmental health
Antifungal
Immunology
Human immunodeficiency virus (HIV)
Histoplasma capsulatum
Dermatology
Optics
Viral disease
Physics
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1093/mmy/myae039
- https://academic.oup.com/mmy/article-pdf/62/6/myae039/58350515/myae039.pdf
- OA Status
- bronze
- Cited By
- 12
- References
- 68
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4400074219
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4400074219Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/mmy/myae039Digital Object Identifier
- Title
-
Histoplasmosis: A systematic review to inform the World Health Organization of a fungal priority pathogens listWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-06-01Full publication date if available
- Authors
-
Aiken Dao, Hannah Yejin Kim, Catriona Halliday, Rita Oladele, Volker Rickerts, Nelesh P. Govender, Jong Hee Shin, Jutta Heim, Nathan Ford, Saskia Andrea Nahrgang, Valeria Gigante, Justin Beardsley, Hatim Sati, C. Orla Morrissey, Jan‐Willem C. Alffenaar, Ana Alastruey‐IzquierdoList of authors in order
- Landing page
-
https://doi.org/10.1093/mmy/myae039Publisher landing page
- PDF URL
-
https://academic.oup.com/mmy/article-pdf/62/6/myae039/58350515/myae039.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/mmy/article-pdf/62/6/myae039/58350515/myae039.pdfDirect OA link when available
- Concepts
-
Histoplasmosis, Voriconazole, Caspofungin, Itraconazole, Fluconazole, Histoplasma, Medicine, Incidence (geometry), Amphotericin B, Aspergillosis, Cryptococcal meningitis, Intensive care medicine, Environmental health, Antifungal, Immunology, Human immunodeficiency virus (HIV), Histoplasma capsulatum, Dermatology, Optics, Viral disease, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
12Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 12Per-year citation counts (last 5 years)
- References (count)
-
68Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.antifungal | 68 |
| abstract_inverted_index.critically | 49 |
| abstract_inverted_index.identifies | 167 |
| abstract_inverted_index.incidence, | 65 |
| abstract_inverted_index.literature | 51 |
| abstract_inverted_index.morbidity, | 67 |
| abstract_inverted_index.mortality, | 66 |
| abstract_inverted_index.prevalence | 80, 99 |
| abstract_inverted_index.resistance | 147 |
| abstract_inverted_index.systematic | 36 |
| abstract_inverted_index.transplant | 33 |
| abstract_inverted_index.uncertain. | 131 |
| abstract_inverted_index.understand | 182 |
| abstract_inverted_index.(22%–44%) | 81 |
| abstract_inverted_index.caspofungin | 142 |
| abstract_inverted_index.challenges, | 20 |
| abstract_inverted_index.fluconazole | 137 |
| abstract_inverted_index.individuals | 24 |
| abstract_inverted_index.lymphoedema | 119 |
| abstract_inverted_index.recipients. | 34 |
| abstract_inverted_index.resistance, | 69 |
| abstract_inverted_index.significant | 3 |
| abstract_inverted_index.underlining | 171 |
| abstract_inverted_index.0.125–0.16 | 152 |
| abstract_inverted_index.Histoplasma. | 74 |
| abstract_inverted_index.amphotericin | 149 |
| abstract_inverted_index.distribution | 72 |
| abstract_inverted_index.itraconazole | 154 |
| abstract_inverted_index.particularly | 21, 135 |
| abstract_inverted_index.surveillance | 178 |
| abstract_inverted_index.voriconazole | 159 |
| abstract_inverted_index.0.004–0.125 | 156, 161 |
| abstract_inverted_index.Complications | 109 |
| abstract_inverted_index.histoplasmosis | 101 |
| abstract_inverted_index.representative | 177 |
| abstract_inverted_index.susceptibility | 133 |
| abstract_inverted_index.Histoplasmosis, | 1 |
| abstract_inverted_index.preventability, | 70 |
| abstract_inverted_index.Organization’s | 44 |
| abstract_inverted_index.immunocompromised | 23 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 99 |
| corresponding_author_ids | https://openalex.org/A5000820066 |
| countries_distinct_count | 9 |
| institutions_distinct_count | 16 |
| corresponding_institution_ids | https://openalex.org/I129604602, https://openalex.org/I2801703238, https://openalex.org/I2803024705 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.97027094 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |