RT Journal
T1 Notes from the field: Histoplasmosis outbreak among day camp attendees—nebraska, june 2012
JF JAMA
JO JAMA
YR 2012
FD November 14
VO 308
IS 18
SP 1853
OP 1854
DO 10.1001/jama.2012.14070
UL http://dx.doi.org/10.1001/jama.2012.14070
AB 
Histoplasmosis is a common fungal infection in the United States1 and is a cause of respiratory illness outbreaks in endemic areas, which include areas in the midwestern states, and particularly the Mississippi and Ohio River valleys.2 Illness usually is acquired from inhalation of soil contaminated with bird or bat droppings2; human-to-human transmission does not occur. Symptoms include fever, headache, and respiratory symptoms, although infected persons can remain asymptomatic.2 Most patients will recover regardless of treatment, but severe disease can lead to respiratory failure and should be treated; immunocompromised patients are at high risk for developing histoplasmosis that spreads throughout the body.2