Clinical Testing Guidance for Coccidioidomycosis, Histoplasmosis, and Blastomycosis in Patients With Community-Acquired Pneumonia for Primary and Urgent Care Providers.

Smith, Dallas J; Free, Rebecca J; Thompson, George R; Baddley, John W; Pappas, Peter G; Benedict, Kaitlin; Gold, Jeremy A W; Endemic Mycoses Diagnostic Algorithm Subject Matter Expert Group et al. · Clin Infect Dis · 2024

expert_opinion · Level V

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Abstract

Coccidioidomycosis, histoplasmosis, and blastomycosis are underrecognized and frequently misdiagnosed fungal infections that can clinically resemble bacterial and viral community-acquired pneumonia. This guidance is intended to help outpatient clinicians test for these fungal diseases in patients with community-acquired pneumonia to reduce misdiagnoses, unnecessary antibacterial use, and poor outcomes.

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