Diagnostic Methods for Histoplasmosis: Focus on Endemic Countries with Variable Infrastructure Levels

Diagnosis of histoplasmosis remains challenging in resource-limited regions where HIV/AIDS is epidemic and histoplasmosis is endemic. Early and rapid detection of histoplasmosis is essential to preventing morbidity and mortality, yet few diagnostic options are available in low-resource areas of the...

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Autores:
Tipo de recurso:
Fecha de publicación:
2014
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/23829
Acceso en línea:
https://doi.org/10.1007/s40475-014-0020-0
https://repository.urosario.edu.co/handle/10336/23829
Palabra clave:
Africa
Ajellomyces capsulatus
Asia
Capillary tube precipitation test
Caribbean
Central America
Complement fixation test
Diagnostic procedure
Endemic disease
Enzyme linked immunosorbent assay
Fungus culture
Histopathology
Histoplasmosis
Human
Human immunodeficiency virus infection
Immunodiffusion
Laboratory diagnosis
Loop mediated isothermal amplification
Microscopy
Morbidity
Mortality
North America
Polymerase chain reaction
Priority journal
Progressive disseminated histoplasmosis
Review
Sensitivity and specificity
South America
Western blotting
AIDS
Diagnosis
Histoplasmosis
HIV
Progressive disseminated histoplasmosis (PDH)
Endemic countries
Histoplasma capsulatum
Rights
License
Abierto (Texto Completo)
Description
Summary:Diagnosis of histoplasmosis remains challenging in resource-limited regions where HIV/AIDS is epidemic and histoplasmosis is endemic. Early and rapid detection of histoplasmosis is essential to preventing morbidity and mortality, yet few diagnostic options are available in low-resource areas of the world. The aim of this review is to provide an overview of the current status of the diagnosis of histoplasmosis, including an update on recent developments and utilization of new technologies. We discuss the specific diagnostic challenges faced in endemic regions, emphasizing the need for greater availability and standardization of rapid diagnostics for this endemic and neglected disease. While significant progress has been made in the development of new methods, clinical utility must be established by means of formal and extensive clinical studies. © 2014, Springer International Publishing AG (outside the USA).