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Histoplasma Capsulatum - Habitat, Morphology, Epidemiology, Virulence Factors, Treatment + More
Histoplasma Capsulatum - Habitat, Morphology, Epidemiology, Virulence Factors, Treatment + More
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Habitat
is a dimorphic ascomycete that grows in its hyphal
Histoplasma capsulatum
form in soil and bird and bat guano.
The natural habitat of capsulatum is the soil and has also been recovered
most frequently from soil material contaminated with bird or bat
droppings.
Unlike bats, birds do not become infected with capsulatum and their
droppings serve as a nutrient source for the fungus which already
present in the soil.
Bats are capable of depositing capsulatum with their droppings and can
distribute the fungus to distant from an existing natural source.
The fungus has been found in poultry house litter, caves, areas
harboring bats, and in bird roosts.
Soil samples from sites where birds have roosted have been found to
remain contaminated for at least 10 years even after the roost has been
cleared.
Morphology
capsulatumis a thermally dimorphic fungus which exists as a mycelial form
at ambient temperatures and grows as small round budding yeast cells
at body temperature in mammals.
There are two varieties of capsulatum recognized: var. capsulatum and
var. duboisii where H. capsulatum var duboisii is the cause of African
histoplasmosis.
The two varieties are indistinguishable in their mould forms, but there is
a difference in their parasitic forms.
The cells of the tissue form of duboisii are much larger and comprised of
thicker walls than those of var. capsulatum.
Growth on Sabouraud dextrose agar at 25ºC shows a white to brown
colony, cottony mycelium after 2 to 3 weeks.
The mold phase is characterized by thin, branching, septate hyphae that
produce microconidia and a very distinct spore called a tuberculate
macroconidium.
Grown at 37ºC shows the budding yeast form.
The yeast cell is 2-4 µm in diameter and slightly oval in shape and found
exclusively within macrophages.
Epidemiology
Histoplasma capsulatumis a dimorphic fungal pathogen of worldwide
importance that causes a broad spectrum of disease activity.
Histoplasmosis is the most prevalent mycosis in North America and
more often reported in the areas surrounding the Mississippi and Ohio
rivers.
Infection occurs via exposure to dust or soil for prolonged periods of
time including activities which disturb bird and bat guano which
increase the risk of infection.
In Ohio and Mississippi River valleys, capsulatum is endemic and
approximately 80 % of the general population tested showed
hypersensitivity to Histoplasma capsulatum with young adults being the
largest group to be affected.
Histoplasmosis is also found in Central and South America, Australia,
eastern Asia, and the tropical areas of Africa.
Although the course of infection is mild in immunocompetent
individuals, the individuals with immunocompromised status are at an
increased risk of infection, and hold an increased severity of infection
with a higher mortality rate.