Multistate Epidemiology of Histoplasmosis, United States, 2011-2014

被引：76

作者：

Armstrong, Paige A. ^{[1
]}

Jackson, Brendan R. ^{[1
]}

Haselow, Dirk ^{[2
]}

Fields, Virgie ^{[2
]}

Ireland, Malia ^{[3
]}

Austin, Connie ^{[4
]}

Signs, Kimberly ^{[5
]}

Fialkowski, Veronica ^{[2
,5
]}

Patel, Reema ^{[6
]}

Ellis, Peggy ^{[7
]}

Iwen, Peter C. ^{[8
]}

Pedati, Caitlin ^{[1
,9
]}

Gibbons-Burgener, Suzanne ^{[10
]}

Anderson, Jannifer ^{[11
]}

Dobbs, Thomas ^{[11
]}

Davidson, Sherri ^{[12
]}

McIntyre, Mary ^{[12
]}

Warren, Kimberly ^{[13
]}

Midla, Joanne ^{[14
]}

Luong, Nhiem ^{[15
]}

Benedict, Kaitlin ^{[1
]}

机构：

[1] Ctr Dis Control & Prevent, 1600 Clifton Rd NE,Mailstop C17, Atlanta, GA 30329 USA

[2] Arkansas Dept Hlth, Little Rock, AR 72205 USA

[3] Minnesota Dept Hlth, St Paul, MN USA

[4] Illinois Dept Publ Hlth, Springfield, IL 62761 USA

[5] Michigan Dept Hlth & Human Serv, Lansing, MI USA

[6] Indiana State Dept Hlth, Indianapolis, IN 46202 USA

[7] Kentucky Dept Publ Hlth, Frankfort, KY USA

[8] Univ Nebraska Med Ctr, Omaha, NE USA

[9] Nebraska Dept Hlth & Human Serv, Lincoln, NE USA

[10] Wisconsin Dept Hlth Serv, Madison, WI USA

[11] Mississippi Dept Hlth, Jackson, MS USA

[12] Alabama Dept Publ Hlth, Montgomery, AL 36102 USA

[13] Penn Dept Hlth, Harrisburg, PA 17108 USA

[14] Ohio Dept Hlth, Columbus, OH 43266 USA

[15] Delaware Div Publ Hlth, Dover, DE USA

来源：

EMERGING INFECTIOUS DISEASES | 2018年 / 24卷 / 03期

关键词：

LABORATORY UPDATE; COCCIDIOIDOMYCOSIS; INFECTIONS; DIAGNOSIS;

D O I：

10.3201/eid2403.171258

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Histoplasmosis is one of the most common mycoses endemic to the United States, but it was reportable in only 10 states during 2016, when a national case definition was approved. To better characterize the epidemiologic features of histoplasmosis, we analyzed deidentified surveillance data for 2011-2014 from the following 12 states: Alabama, Arkansas, Delaware, Illinois, Indiana, Kentucky, Michigan, Minnesota, Mississippi, Nebraska, Pennsylvania, and Wisconsin. We examined epidemiologic and laboratory features and calculated state-specific annual and county-specific mean annual incidence rates. A total of 3,409 cases were reported. Median patient age was 49 (interquartile range 33-61) years, 2,079 (61%) patients were male, 1,273 (57%) patients were hospitalized, and 76 (7%) patients died. Incidence rates varied markedly between and within states. The high hospitalization rate suggests that histoplasmosis surveillance underestimates the true number of cases. Improved surveillance standardization and surveillance by additional states would provide more comprehensive knowledge of histoplasmosis in the United States.

引用

页码：425 / 431

页数：7

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