Histoplasmosis classification: Difference between revisions
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==Overview== | ==Overview== | ||
Histoplasmosis can be classified with respect to the involved organ system. This can include [[pulmonary]], [[nervous system]], [[cardiovascular system]] and [[mediastinum]]. Histoplasmosis can also be classified according to the '''severity''' in to mild, moderate and severe, according to '''disease duration''' into acute, [[subacute]], [[chronic]] and recurrent and according to the '''progression of the disease''' into localized or [[Disseminated disease|disseminated]] histoplasmosis. | [[Histoplasmosis]] can be classified with respect to the involved organ system. This can include [[pulmonary]], [[nervous system]], [[cardiovascular system]] and [[mediastinum]]. [[Histoplasmosis]] can also be classified according to the '''severity''' in to mild, moderate and severe, according to '''disease duration''' into [[acute]], [[subacute]], [[chronic]] and recurrent and according to the '''progression of the disease''' into localized or [[Disseminated disease|disseminated]] [[histoplasmosis]]. | ||
==Classification== | ==Classification== | ||
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*1. '''Pulmonary histoplasmosis''' | *1. '''Pulmonary histoplasmosis''' | ||
:*This may manifest in the following forms: | :*This may manifest in the following forms: | ||
:**Acute pulmonary histoplasmosis''' | :**[[Acute]] pulmonary [[histoplasmosis]]''' | ||
:**Chronic cavitary pulmonary histoplasmosis | :**[[Chronic]] cavitary pulmonary [[histoplasmosis]] | ||
:**Broncholithiasis | :**Broncholithiasis | ||
:**Pulmonary | :**Pulmonary nodules (Histoplasmomas) | ||
*2. '''CNS histoplasmosis''' | *2. '''CNS histoplasmosis''' | ||
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*5. '''Mediastinal histoplasmosis''' | *5. '''Mediastinal histoplasmosis''' | ||
:*This may manifest in the following forms: | :*This may manifest in the following forms: | ||
:**Mediastinal lymphadenitis''' | :**[[Mediastinal]] [[lymphadenitis]]''' | ||
:**Mediastinal granuloma''' | :**[[Mediastinal]] [[granuloma]]''' | ||
:**Mediastinal fibrosis'' | :**[[Mediastinal]] fibrosis'' | ||
===B. Severity of disease=== | ===B. Severity of disease=== | ||
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* Lasts few weeks | * Lasts few weeks | ||
* Patient acutely ill | * Patient acutely ill | ||
*Mostly in HIV-associated patients | *Mostly in [[HIV]]-associated patients | ||
* Impaired consciousness | * Impaired consciousness | ||
* Seeks medical treatment early due to sudden deterioration | * Seeks medical treatment early due to sudden deterioration | ||
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* Lasts less than 4 weeks | * Lasts less than 4 weeks | ||
* Patient acutely ill | * Patient acutely ill | ||
*Mostly in HIV-associated patients | *Mostly in [[HIV]]-associated patients | ||
* Impaired consciousness | * Impaired consciousness | ||
* Seeks medical treatment early due to sudden deterioration | * Seeks medical treatment early due to sudden deterioration | ||
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===D. Progression of disease=== | ===D. Progression of disease=== | ||
* Localised histoplasmosis | * Localised [[histoplasmosis]] | ||
* Disseminated histoplasmosis | * Disseminated [[histoplasmosis]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 17:20, 8 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2], Usama Talib, BSc, MD [3]
Overview
Histoplasmosis can be classified with respect to the involved organ system. This can include pulmonary, nervous system, cardiovascular system and mediastinum. Histoplasmosis can also be classified according to the severity in to mild, moderate and severe, according to disease duration into acute, subacute, chronic and recurrent and according to the progression of the disease into localized or disseminated histoplasmosis.
Classification
A. Organ system classification
- 1. Pulmonary histoplasmosis
- This may manifest in the following forms:
- Acute pulmonary histoplasmosis
- Chronic cavitary pulmonary histoplasmosis
- Broncholithiasis
- Pulmonary nodules (Histoplasmomas)
- This may manifest in the following forms:
- 2. CNS histoplasmosis
- 3. Histoplasma pericarditis
- 4. Rheumatologic histoplasmosis
- 5. Mediastinal histoplasmosis
- This may manifest in the following forms:
B. Severity of disease
On the basis of disease severity, histoplasmosis may be as follows:
According to severity of the disease | ||
Mild |
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Moderate |
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Severe |
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C. According to the duration of disease
According to the duration of disease | |||
Acute |
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Subacute |
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Chronic |
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Recurrent |
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D. Progression of disease
- Localised histoplasmosis
- Disseminated histoplasmosis