A. Suzaki et al., AN OUTBREAK OF HISTOPLASMOSIS CONTRACTED BY JAPANESE VISITORS BAT-INHABITED CAVE NEAR MANAUS, BRAZIL, Journal de mycologie medicale, 5(1), 1995, pp. 40-43
An outbreak of acute histoplasmosis occurred among eight Japanese peop
le who were exposed to bat guano in a cave near Manaus, Brazil. The re
sulting epidemic was studied with serial clinical, serologic and radio
logic examinations. Eight (100 %) of the individuals showed serologic
evidence of histoplasmosis and 7 (87.5 %) had symptoms consistent with
those of the disease. Until now the cave involved was never documente
d as being endemic for histoplasmosis. The threat of Histoplasma capsu
latum infection in bat-occupied caves should be emphasized to travelle
rs and physicians.