Table 1. Distribution of histoplasmosis in Africa.
| Country | Total number of cases | H. capsulatum var. dubosii | H. capsulatum var. capsulatum | HIV positive | HIV negative |
|---|---|---|---|---|---|
| W/A | |||||
| Nigeria | 124 | 124 | - | 4 | 124 |
| Ivory Coast | 10 | 7 | 3 | 4 | 6 |
| Ghana | 12 | 4 | 8 | 11 | 1 |
| Senegal | 12 | 9 | 3 | 4 | 8 |
| Mali | 8 | 8 | - | - | 8 |
| Liberia | 2 | 1 | 1 | 2 | - |
| Gambia | 1 | 1 | - | 1 | = |
| Togo | 2 | 2 | - | 2 | - |
| Guinea | 2 | 2 | - | - | 2 |
| Burkina Faso | 3 | 3 | - | - | 3 |
| Republic of Benin* | 3 | 1 | 1 | - | 3 |
| Mauritania | - | - | - | - | - |
| Niger | - | - | - | - | - |
| Guinea Bissau | - | - | - | - | - |
| Sierra Leone | - | - | - | - | - |
| Cape Verde | - | - | - | - | - |
| Summary W/A | 179 | 163 | 16 | 28 | 151 |
| E/A | |||||
| Uganda** | 36 | 18 | 4 | 3 | 33 |
| Rwanda | 3 | 2 | 1 | - | 3 |
| Kenya | 9 | 2 | 7 | 4 | 4 |
| Ethiopia | 1 | 1 | - | ? | ? |
| Somali | 1 | - | 1 | - | 1 |
| Burundi | - | - | - | - | - |
| South Sudan | - | - | - | - | - |
| Djibouti | - | - | - | - | - |
| Eritrea | - | - | - | - | - |
| Summary E/A | 50 | 23 | 13 | 7 | 41 |
| C/A | |||||
| Zaire (DRC) | 9 | 4 | 5 | 8 | 1 |
| Gabon | 1 | 1 | - | 1 | - |
| Chad | 2 | 2 | - | - | 2 |
| Central Africa Republic | 1 | 1 | - | - | 1 |
| Angola | 3 | 3 | - | - | 3 |
| Congo | 36 | 35 | 1 | 23 | 13 |
| Cameroon | 15 | 6 | 9 | 12 | 3 |
| Equatorial Guinea | 6 | 1 | 5 | 3 | 3 |
| Sao Tome and Principe | - | - | - | - | - |
| Summary C/A | 73 | 53 | 20 | 47 | 26 |
| S/A | |||||
| South Africa*** | 61 | - | 61 | 27 | 33 |
| Namibia | - | - | - | - | - |
| Zimbabwe | 57 | 1 | 56 | 56 | - |
| Lesotho | - | - | - | - | - |
| Tanzania**** | 24 | 1 | 1 | 10 | 7 |
| Botswana | - | - | - | - | - |
| Malawi | 3 | 2 | 1 | 2 | 1 |
| Madagascar | 5 | 5 | - | - | 5 |
| Zambia | - | - | - | - | - |
| Swaziland | - | - | - | - | - |
| Mozambique | - | - | - | - | - |
| Summary S/A | 150 | 9 | 119 | 95 | 46 |
| N/A | |||||
| Sudan | 1 | 1 | - | - | 1 |
| Algeria | - | - | - | - | - |
| Tunisia | - | - | - | - | - |
| Morocco | 3 | - | 3 | 1 | 2 |
| Libya | - | - | - | - | - |
| Western Sahara | - | - | - | - | - |
| Egypt | 14 | - | 14 | - | 14 |
| Summary N/A | 18 | 1 | 17 | 1 | 17 |
*One case was based on serological data (histoplasmin).
**13 cases were an outbreak with serological diagnosis and typical clinical pattern; all were pulmonary histoplasmosis.
***HIV testing not done in one case; 15 cases were based on serological testing.
****Majority of diagnoses were based on serological data, and HIV status not stated in some studies.
Abbreviations: C/A, Central Africa; E/A, East Africa; N/A, North Africa; S/A, Southern Africa; W/A, West Africa.