Clinical Testing Guidance for Coccidioidomycosis, Histoplasmosis, and Blastomycosis in Patients With Community-Acquired Pneumonia for Primary and Urgent Care Providers

Author:

Smith Dallas J12ORCID,Free Rebecca J2,Thompson George R34,Baddley John W56,Pappas Peter G7,Benedict Kaitlin2ORCID,Gold Jeremy A W2,Andes David,Bradsher Robert W,Ebell Mark H,Spec Andrej,Bahr Nathan C,Kauffman Carol A,Mott Timothy,Saccente Michael,Blair Janis E,Galgiani John,Johnson Royce H,Rutherford Richard,Tushla Lisa A8,Chiller Tom2,Jackson Brendan R2,Toda Mitsuru2ORCID,

Affiliation:

1. Epidemic Intelligence Service, Centers for Disease Control and Prevention , Atlanta, Georgia , USA

2. Mycotic Diseases Branch, Division of Foodborne, Waterborne and Environmental Diseases , Atlanta, Georgia , USA

3. Department of Internal Medicine, Division of Infectious Diseases and the Department of Medical Microbiology and Immunology, University of California Davis Medical Center , Sacramento, California , USA

4. Center for Valley Fever, University of California Davis , Sacramento, California , USA

5. Division of Infectious Diseases, University of Maryland School of Medicine , Baltimore, Maryland , USA

6. Baltimore VA Medical Center , Baltimore, Maryland , USA

7. Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham School of Medicine , Birmingham, Alabama , USA

8. Terranova Medica, LLC , Colorado Springs, Colorado , USA

Abstract

Abstract Coccidioidomycosis, histoplasmosis, and blastomycosis are underrecognized and frequently misdiagnosed fungal infections that can clinically resemble bacterial and viral community-acquired pneumonia. This guidance is intended to help outpatient clinicians test for these fungal diseases in patients with community-acquired pneumonia to reduce misdiagnoses, unnecessary antibacterial use, and poor outcomes.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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