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. 2015 Jun 3;92(6):1168–1172. doi: 10.4269/ajtmh.14-0509

Table 2.

Asymptomatic cases of proven or probable histoplasmosis (incidental radiological findings)

Age (gender) Probable location of infection Visited bat habitat Radiology Travel partner with histoplasmosis* Time lag (mo) Serology Additional diagnostic tests
15 29 (M) Central America m/p Guatemala Yes ND Yes (#1) 16 Positive
16 31 (M) m/p Mexico Yes 3 Nodules of which 2 calcified No 108 Negative
17 30 (F) Guatemala Yes Multiple calcified nodules/masses Yes (#18) 96 Negative§
18 32 (M) Guatemala Yes 2 Nodules, 1 calcified Yes (#17) 96 Negative§
19 37 (M) Central America m/p Guatemala Yes 2 Partially calcified nodules No 36 Positive
20 66 (M) South or Central America No RLL mass No 18 Borderline Excisional biopsy
21 33 (M) Central America No Multiple calcified foci—lung and spleen No 120 ND
22 54 (M) Indianapolis, IN No Multiple calcified nodules No 36 ND
23 52 (M) Dominican Republic Yes Calcified nodule No 72 ND

F = female; M = male; m/p = most probably; ND = not done or uninterpretable; RLL = right lower lobe.

*

Proven or probable.

From return from endemic area until presentation.

Diagnosis (probable) based on typical radiological appearance.

§

Diagnosis based on radiological appearance and travel partner with proven or probable histoplasmosis.

Diagnosis based on histopathology of mass: necrotizing granulomata, yeasts with morphology of Histoplasma capsulatum in adjacent lymph node.