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. 2016 Mar;22(3):370–378. doi: 10.3201/eid2203.151117

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Locations of histoplasmosis outbreaks and number of outbreak-related cases, by state or territory (Puerto Rico, inset), United States, 1938–2013. City or county was not available for 1 outbreak in Ohio; 1 in Iowa; 2 in Tennessee; 1 in Missouri; and 1 in North Carolina. Points were placed in the center of the state for these outbreaks. Three of the 5 outbreaks in Puerto Rico occurred in the same cave system and appear as a single point on the map. Histoplasmosis is a reportable disease in Arkansas, Delaware, Illinois, Indiana, Kentucky, Michigan, Minnesota, Nebraska, Pennsylvania, and Wisconsin.

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