Lung Infection; Histoplasmosis; 041215 Hour 2


I am currently being treated through the VA for a lung infection. My doctors are not sure whether it has bacterial or fungal origin. They have me on three different antibiotics. I am from Pittsburg.


In Pennsylvania, Maryland and New York Areas it is not uncommon for people to end up with a fungal infection, called Histoplasmosis.

Histoplasmosis is very common in the mid-Atlantic states. If that is where you grew up, or if you spent any time there at all, it is likely what you have is Histoplasmosis. All you have to do is drive by and you are going to get a face full of Histoplasmosis, every time the farmland gets tilled.

It looks like Tuberculosis, they will tell you. But what you do, is get a TB test. Then, do a Histoplasmosis skin test. More than likely, you will test positive for Histoplasmosis. The thing you should be concerned with, is if you have TB.

If you ended up with a pulmonary abscess, you would know about it by now. If you had some bizarre fungal infection, you would be aware of that by now, as well.

Histoplasmosis is common. I did my training up there; I lived up there, and one thing you learn is that everyone who comes through the ER ends up with Histoplasmosis on their chest x-ray. When you come down to Florida, Doctors there may not ever recognize this. It is a regional illness, and you have Histoplasmosis on the lung. It did not do me any damage, and it is probably not going to do you any damage, either.

About David S Klein, MD 149 Articles
David S. Klein, MD, FACA, FACPM was born in Washington, DC, and was raised in Chevy Chase, Maryland. He completed his undergraduate education at the University of Maryland with degrees in Chemistry and Psychology. Medical School was completed at the University of Maryland at Baltimore, followed by Internship in General Surgery at the University of North Carolina and Residency in Anesthesiology at the Duke University, Durham, North Carolina. Dr Klein has been practicing medicine since 1983, concentrating in Pain Medicine, Minimally Invasive Medicine and Surgery, and Neuroendocrinology. Earning Board Certification in Anesthesiology, Dr. Klein was elected Fellow in the American College of Anesthesiology, and he was elected Fellow in the American College of Pain Medicine. He is currently an adjunct Associate Professor at the University of Central Florida, School of Medicine. He has focused his private practice on treating patients with hormone imbalance issues, nutritional deficiency related medical problems as well as pain related issues and impairment. With a highly-complex, CLIA licensed laboratory in-house, he has been able to provide rapid-turn around analysis efficiently and cost-effectively. Lecturing extensively nationally as well as internationally, Dr. Klein has authored many articles on topics relating to pain, injury and nutritionally modulated illness. His radio show, “Pain Free Living,” received top ratings during the 6 years it was on the air. Currently practicing in Longwood, Florida, Dr. Klein practices entirely in the office setting.