Mild Acute Pulmonary Histoplasmosis in Immunocompetent Adults and Children

Clinical Scenario

This protocol applies to immunocompetent patients — adults and children with no immunocompromising condition — who present with mild acute pulmonary histoplasmosis.

Immunocompetent No immunocompromising condition Mild severity
Defining Mild Severity

Mild acute pulmonary histoplasmosis is characterised by mild symptoms — such as cough, fever, dyspnea, or chest discomfort — that do not interfere with normal daily activities.

Approach

Current evidence-based guidance specifically addresses the role of antifungal treatment in this population, with a conditional recommendation based on available evidence. Access the full structured protocol for the complete recommendation and management criteria.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/cid/ciaf256

In immunocompetent adults and children presenting with mild acute pulmonary histoplasmosis, the panel suggests against routinely providing antifungal treatment (conditional recommendation, very low certainty of evidence).

Mild acute pulmonary histoplasmosis — mild symptoms (eg, cough, fever, dyspnea, chest discomfort) that do not interfere with normal activities.

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