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Man can be infected by inhalation of fungal spores Histoplasma capsulatum which, being very small particles (2 to 5 μm in diameter), can reach the airways and most alveoli Peripheral [19659002] Histoplasmosis is often called "cave disease" because it is in this type of places that the above mushroom is more easily discovered
The twelve saved children of A cave in Thailand may have developed a form of histoplasmosis. Minors are now under medical supervision to monitor any pathological complication. Before the rescue, doctors quoted by the Reuters news agency warned of the risk of occurrence of histoplasmosis in adolescents, but also other diseases such as meningitis, leptospirosis and pneumonia
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If the exposure has been at higher spore concentrations, individuals may have a clinical picture similar to that of the flu, and some of these cases (about 10%) may evolve to the arthralgia, septic arthritis and erythema nodosum
The disease can progress to respiratory failure and death
In others we observe a pulmonary form, which may appear shortly after the first infection, with fever, chills, loss of appetite, asthenia, cough, abundant expectorant sputum, both with the emission of blood. This situation, if left untreated, progresses to respiratory failure and death.
There may also be a more serious situation: the spread, by blood, of the disease reaching several devices and systems. These cases are almost always badociated with diseases that occur with a decrease in cellular immunity (eg, HIV infection, lymphoma, etc.).
This agent is more common in the central United States. United, from Central America and although it has been mentioned elsewhere in the world, especially in Asia.
The reference to travel in these parts of the world becomes particularly important for a correct diagnosis.
The explanations are from the doctor and professor António Bugalho de Almeida, specialist in pneumology at CORCLINICA
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