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Volume 24, Number 3—March 2018
Synopsis

Multistate Epidemiology of Histoplasmosis, United States, 2011–20141

Paige A. ArmstrongComments to Author , Brendan R. Jackson, Dirk Haselow, Virgie Fields, Malia Ireland, Connie Austin, Kimberly Signs, Veronica Fialkowski, Reema Patel, Peggy Ellis, Peter C. Iwen, Caitlin Pedati, Suzanne Gibbons-Burgener, Jannifer Anderson, Thomas Dobbs, Sherri Davidson, Mary McIntyre, Kimberly Warren, Joanne Midla, Nhiem Luong, and Kaitlin Benedict
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (P.A. Armstrong, B.R. Jackson, C. Pedati, K. Benedict); Arkansas Department of Health, Little Rock, Arkansas, USA (D. Haselow, V. Fields, V. Fialkowski); Minnesota Department of Health, Saint Paul, Minnesota, USA (M. Ireland); Illinois Department of Public Health, Springfield, Illinois, USA (C. Austin); Michigan Department of Health and Human Services, Lansing, Michigan, USA (K. Signs, V. Fialkowski); Indiana State Department of Health, Indianapolis, Indiana, USA (R. Patel); Kentucky Department for Public Health, Frankfort, Kentucky, USA (P. Ellis); University of Nebraska Medical Center, Omaha, Nebraska, USA (P.C. Iwen); Nebraska Department of Health and Human Services, Lincoln, Nebraska, USA (C. Pedati); Wisconsin Department of Health Services, Madison, Wisconsin, USA (S. Gibbons-Burgener); Mississippi State Department of Health, Jackson, Mississippi, USA (J. Anderson, T. Dobbs); Alabama Department of Public Health, Montgomery, Alabama, USA (S. Davidson, M. McIntyre); Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA (K. Warren); Ohio Department of Health, Columbus, Ohio, USA (J. Midla); Delaware Division of Public Health, Dover, Delaware, USA (N. Luong); 1This work was presented in part at the 2016 IDWeek Conference, the 66th Epidemic Intelligence Service Conference, and the 2017 Council of State and Territorial Epidemiologists Annual Conference.

Main Article

Table 1

Patient characteristics for 3,409 histoplasmosis cases reported to public health departments, 12 US states, 2011–2014*

Characteristic, no. patients, no. states contributing information No. (%)
Sex, 3,405 patients, 12 states
M 2,079 (61.1)
  F 1,323 (38.9)
  Unknown
 3 (0.1)
Race, 1,729 patients, 8 states
  White 1,079 (62.4)
  Black 166 (9.6)
  Other 24 (1.4)
  Asian or Pacific Islander 9 (0.5)
  American Indian or Alaska Native 5 (0.3)
  Unknown
 446 (25.8)
Ethnicity, 1,620 patients, 8 states
  Non-Hispanic or Latino 1,072 (66.2)
  Hispanic or Latino 45 (2.8)
  Unknown
 503 (31.1)
Case status, 2,542 patients, 10 states
  Confirmed 1,465 (57.6)
  Probable 1,077 (42.4)
  Outbreak-associated illness, 816 patients, 3 states
  Yes 110 (13.5)
  No 195 (23.9)
  Unknown
 511 (62.6)
Immunocompromised, 1,154 patients, 3 states
  Yes 344 (29.8)
  No 649 (56.2)
  Unknown
 161 (14.0)
Hospitalized, 2,218 patients, 9 states
  Yes† 1,273 (57.4)
  No 851 (38.4)
  Unknown
 94 (4.2)
Died, 1,142 patients, 8 states
  Yes 76 (6.7)
  No 906 (79.3)
  Unknown 160 (14.0)

*Median (range) age for 3,401 patients from 12 states was 49 (0–94) y.
†Median (range) duration for 548 patients from 9 states was 7 (1–126) d.

Main Article

Page created: February 15, 2018
Page updated: February 15, 2018
Page reviewed: February 15, 2018
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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