2014
DOI: 10.1016/j.mmcr.2013.12.002
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Histoplasmosis outbreak in Tamboril cave—Minas Gerais state, Brazil

Abstract: In this study, we report four cases of Histoplasma capsulatum infection in eight biologists who made an expedition to determine the prevalence of this fungus in a cave localized in the northwest of Minas Gerais state, Brazil. This case report demonstrates the importance of evaluating the H. capsulatum presence in Brazilian caves before opening to public visitations.

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Cited by 19 publications
(10 citation statements)
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“…However, the fungal diversity of caves in Brazil is still poorly explored, and needs to be studied to contribute to Brazilian and global fungal estimations. Studies conducted in Brazilian caves have focused on verifying the environmental quality for tourism proposals, and therefore, their search was directed towards finding pathogenic fungal species [ 21 , 27 , 28 ]. The first report of fungal species from caves in Brazil (in the Amazon forest) was published by Castrillón et al [ 29 ], who isolated fungi from soils and identified these as belonging to eight ascomycetous genera, including a rare dermatophyte, Microsporum amazonicum (currently Arthroderma amazonicum (Moraes, Borelli & Feo) Y. Gräser & de Hoog), and several other isolates without any taxonomic identification rank (e.g.…”
Section: Introductionmentioning
confidence: 99%
“…However, the fungal diversity of caves in Brazil is still poorly explored, and needs to be studied to contribute to Brazilian and global fungal estimations. Studies conducted in Brazilian caves have focused on verifying the environmental quality for tourism proposals, and therefore, their search was directed towards finding pathogenic fungal species [ 21 , 27 , 28 ]. The first report of fungal species from caves in Brazil (in the Amazon forest) was published by Castrillón et al [ 29 ], who isolated fungi from soils and identified these as belonging to eight ascomycetous genera, including a rare dermatophyte, Microsporum amazonicum (currently Arthroderma amazonicum (Moraes, Borelli & Feo) Y. Gräser & de Hoog), and several other isolates without any taxonomic identification rank (e.g.…”
Section: Introductionmentioning
confidence: 99%
“…An increasing number of clustered cases in travellers have been reported in the literature, largely due to a rise in international travel and increasing rates of ecotourism (Table 1) [2,3,4,5,6,7,8]. The generally high attack rate is indicative of the large inoculum of infection, as exposure to caves and bat guano remains a key feature in the majority of previous reports.…”
Section: Discussionmentioning
confidence: 99%
“…Disease has been documented after exposure to caves, cave entrances, canyoning, cleaning sites, and construction areas in North, Central and South America as well as Africa and Asia [42e47]. Cases have been documented in the following Countries after spelunking: United States [43e45], Cuba, [48], Costa Rica [49], Belize [50,51] Nicaragua [52], Guatemala, Peru [53e55], Ecuador [56], Brazil [57,58], El Salvador [59], Venezuela [60], New Caledonia [61], Cyprus [62], Martinique [63], Australia [64], and Tanzania [65].…”
Section: Spelunkingmentioning
confidence: 99%