Research Keyword: histoplasmosis diagnosis

Photo Quiz: A cutaneous fungal infection with discordant biomarker results—a diagnostic challenge

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This case describes a woman with advanced HIV who developed a serious fungal infection called histoplasmosis affecting her skin, lungs, and lymph nodes. Diagnosis was challenging because standard fungal blood tests came back negative, but careful examination of samples and specialized testing confirmed Histoplasma capsulatum. The patient was successfully treated with antifungal medications, highlighting the importance of not relying solely on negative tests when clinical suspicion is high.

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Usefulness of Serum as a Non-Invasive Sample for the Detection of Histoplasma capsulatum Infections: Retrospective Comparative Analysis of Different Diagnostic Techniques and Quantification of Host Biomarkers

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This study examined whether using blood serum samples is practical for diagnosing histoplasmosis, a serious fungal infection caused by Histoplasma capsulatum. Researchers tested four different diagnostic methods on serum samples from patients with histoplasmosis, varying in severity and immune status. They found that combining multiple testing methods provided the best results, with different techniques working better depending on whether patients had weakened immune systems from HIV or were otherwise healthy. The study also measured immune system chemicals called cytokines and found elevated levels in infected patients, suggesting these could help predict disease severity.

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Large language models and their performance for the diagnosis of histoplasmosis

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Researchers tested whether artificial intelligence chatbots like ChatGPT and Microsoft Copilot could help doctors diagnose histoplasmosis, a serious fungal infection affecting people with HIV/AIDS that is often missed. They presented 20 real patient case descriptions to different AI systems and found that Microsoft Copilot performed best, correctly identifying histoplasmosis in 90% of cases—about as good as laboratory tests. While the AI showed promise as a helpful tool to suggest this neglected disease during diagnosis, doctors would still need to verify findings with actual tests.

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Mapping Histoplasma spp. in bats and cave ecosystems: evidence from midwestern Brazil

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Researchers studied caves in Brazil to find where a fungus called Histoplasma that causes histoplasmosis disease is located. They tested soil from caves and tested bats that live in these caves. They found the fungus in about 20% of cave soil samples and in one-third of the bats tested. Multiple bat species were carriers of the fungus, and researchers even found it in bat brains for the first time.

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Usefulness of Serum as a Non-Invasive Sample for the Detection of Histoplasma capsulatum Infections: Retrospective Comparative Analysis of Different Diagnostic Techniques and Quantification of Host Biomarkers

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This study evaluated how well different blood tests can detect histoplasmosis, a serious fungal infection caused by Histoplasma capsulatum. Researchers compared three types of tests: those detecting fungal antigens, those detecting antibodies the body produces against the fungus, and DNA-based tests. They found that the best test depends on whether the patient’s immune system is functioning normally or is weakened by HIV, and using a combination of tests provides the most reliable diagnosis. The study also identified specific immune markers in the blood that are elevated in infected patients, which could help predict disease severity.

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