Table 7.
Comparison between AIDS-related imported Histoplasma capsulatum and H. duboisii histoplasmosis, France*
| Characteristic | H. capsulatum, pre-HAART era | H. capsulatum, HAART era | H. duboisii |
|---|---|---|---|
| No. | 40 | 64 | 17 |
| Mean age (years) | 38 | 40 | 34 |
| No. men | 78 | 58 | 71 |
| Clinical features, % | |||
| Fever | 88 | 84 | 58 |
| Adenopathy | 49 | 63 | 53 |
| Hepatosplenomegaly | 48 (HM), 36 (SM) | 43 (HM), 44 (SM) | 12 |
| Pulmonary symptoms | 60 | 34 | 0 |
| Skin | 56 | 44 | 59 |
| Bone | 0 | 0 | 18 |
| Abdominal | 40 | 36 | 12 |
| Diagnosis tools, % | |||
| Direct examination | 95 | 94 | 100 |
| Culture | 78 | 81 | 64 |
| Blood culture | 35 | 54 | 12 |
| Outcome, % | |||
| Death | 53 | 22 | 24 |
| Relapse | 5 | 3 | 12 |
AIDS = acquired immunodeficiency syndrome; HAART = highly active antiretroviral therapy; HM = hepatomegaly; SM = splenomegaly. Data for H. duboisii-infected patients are from Loulergue and others.19