An Epidemic of Erythema Multiforme and Erythema Nodosum Caused by Histoplasmosis
Authors: THOMAS F. SELLERS
Journal: Annals of Internal Medicine (1965)

Article1 June 1965An Epidemic of Erythema Multiforme and Erythema Nodosum Caused by HistoplasmosisTHOMAS F. SELLERS JR., M.D., WILEY N. PRICE JR., M.D., W. MARCUS NEWBERRY JR., M.D.THOMAS F. SELLERS JR., M.D., WILEY N. PRICE JR., M.D., W. MARCUS NEWBERRY JR., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-6-1244 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn Greenwood, S. C., during the fall and winter of 1962 to 1963 there occurred an outbreak of cases of erythema multiforme and erythema nodosum. An epidemiologic investigation provided evidence that histoplasmosis was the cause. A description of the clinical and epidemiologic features of this unusual epidemic forms the basis of this report.Greenwood is located in west central South Carolina. Its major industry is textile manufacturing. The population of the city itself is approximately 20,000; that of Greater Greenwood is 39,000.MATERIALS AND METHODSThe epidemic was well under way before it was recognized as such. Erythema multiforme and...References1. SCHUBERTAJELLO JHL: Variation in complement fixation antigenicity in different yeast phase strains of H. capsulatum. J. Lab. Clin. Med. 50: 304, 1957. MedlineGoogle Scholar2. HILLCAMPBELL GBCC: Commercially available histoplasmin sensitized latex particles in an agglutination test for histoplasmosis. Mycopathologia 18: 169, 1962. Google Scholar3. SMITHFURCOLOW CDML: Efficiency of three techniques for isolating Histoplasma capsulatum from soil, including a new flotation method. J. Lab. Clin. Med. 64: 342, 1964. MedlineGoogle Scholar4. EDWARDSPALMER PQCE: Nationwide histoplasmin sensitivity and histoplasmal infection. Public Health Rep. 78: 241, 1963. CrossrefMedlineGoogle Scholar5. SIGRESTLUMMUSCAMPBELLBUSEYALLISON MLFLGDJFF: Effect of diagnostic skin testing on antibody levels for histoplasmosis. New Eng. J. Med. 269: 390, 1963. CrossrefMedlineGoogle Scholar6. CAMPBELLHILL CCGB: Further studies on the development of complement-fixing antibodies and precipitins in healthy histoplasmin-sensitive persons following a single histoplasmin skin test. Amer. J. Resp. Dis. 90: 927, 1964. MedlineGoogle Scholar7. D'ALESSIOHEERENHENDRICKSOGILVIEFURCOLOW DJRHFLPML: A starling roost as a source of urban epidemic histoplasmosis in an area of low incidence. (Submitted for publication.) Google Scholar8. ANDREWSDEMONKOS GCAN: Diseases of The Skin, 5th ed., W. B. Saunders Co., Philadelphia, 1963, p. 108. Google Scholar9. LEZNOFFFRANKTELNERROSENSWEIGBRANDT AHPJJL: Histoplasmosis in Montreal during the Fall of 1963, with observations on erythema multiforme. Canad. Med. Ass. J. 91: 1154, 1964. MedlineGoogle Scholar10. LYNCH FW: Erythema multiforme: a review. Southern Med. J. 48: 279, 1955. CrossrefMedlineGoogle Scholar11. GORDON H: Erythema nodosum: review of 115 cases. Brit. J. Derm. 73: 393, 1961. CrossrefMedlineGoogle Scholar12. USTVEDT HJ: Erythema exsudativum multiforme. Acta Med. Scand. 131: 32, 1948. CrossrefMedlineGoogle Scholar13. FIESE MJ: Coccidioidomycosis, Charles C Thomas, Springfield, Ill., 1958, p. 133. Google Scholar14. HEILBRUNNCAIN IBAR: Mild histoplasmosis clinically resembling atypical pneumonia and accompanied by erythema nodosum and arthritis. J. Missouri Med. Ass. 47: 503, 1950. MedlineGoogle Scholar15. DICKIEMURPHY HAME: Laboratory infection with Histoplasma capsulatum. Amer. Rev. Tuberc. 72: 690, 1955. Google Scholar16. NUTTALL-SMITH J: Pulmonary histoplasmosis accompanied by erythema nodosum. Canad. Med. Ass. J. 74: 59, 1956. MedlineGoogle Scholar17. SASLAWBEMAN SFM: Erythema nodosum as a manifestation of histoplasmosis. JAMA 96: 1178, 1959. CrossrefGoogle Scholar18. LITTLESTEIGMAN JAAJ: Erythema nodosum in primary histoplasmosis. JAMA 173: 876, 1960. Google Scholar19. GUY WH: Erythema multiforme. A clinical and laboratory study of 47 cases. JAMA 71: 1993, 1918. CrossrefGoogle Scholar20. SMITH CW: Diagnosis of pulmonary coccidioidal infections. Calif. Med. 75: 385, 1951. MedlineGoogle Scholar21. SAINT-ANDREYEGHICHEYAN PA: Concerning 24 cases of erythema multiforme among a group of young soldiers. Complement fixation reactions to A.P.C. virus. Physiopathologic considerations. Bull. Soc. Franc. Derm. Syph. 69: 801, 1962. MedlineGoogle Scholar22. FURCOLOWTOSHLARSHLYNCHSHAW MLFEHWHJG: The emerging pattern of urban histoplasmosis. Studies on the epidemic in Mexico, Missouri. New Eng. J. Med. 264: 1226, 1961. CrossrefMedlineGoogle Scholar23. ARONSONEDWARDS DLPQ: An urban focus of histoplasmin sensitivity. Amer. Rev. Tuberc. 79: 83, 1959. Google Scholar24. WHITEHOUSEDAVEYENGELKEHOLT WMWNOKJF: Roentgen findings in histoplasmin positive school children. J. Mich. Med. Soc. 58: 1266, 1959. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Atlanta, Georgia, and Greenwood, South CarolinaFrom the Department of Preventive Medicine and Community Health, Emory University School of Medicine, Atlanta, Ga., Self Memorial Hospital, Greenwood, S. C., and the Communicable Disease Center, U. S. Public Health Service, Atlanta, Ga.Requests for reprints should be addressed to Thomas F. Sellers, Jr., M.D., 69 Butler St., S.E., Atlanta, Ga. 30303.*Scientific Equipment Manufacturing Co. Designed and developed by the U. S. Army Medical Equipment Development Laboratory. 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BIESECKER, M.D., Ph.D.Histoplasmosis and BlastomycosisBlackbird Roosts and Histoplasmosis An Increasing Medical Problem?Erythema multiformeThe skin and systemic fungal infectionsUrban Coccidioidomycosis and HistoplasmosisAcute histoplasmosis: Clinical, epidemiologic and serologic findings of an outbreak associated with exposure to a fallen treeRespiratory mycotic infectionErythema nodosumHistoplasmosis Presenting as Acute PolyarthritisProgressive Disseminated Histoplasmosis A Prospective Study of 26 PatientsJAMES W. SMITH, M.D., JOHN P. UTZ, M.D., F.A.C.P.HistoplasmosisHistoplasmosisEcological and epidemiological studies of histoplasmosis in the United States of AmericaErythema nodosumDie HistoplasmoseUse and Interpretation of Serologic and Skin Tests in the Respiratory Mycoses: Current ConsiderationsErythema multiforme affecting the oral cavitySerology in the respiratory mycosesProtean Clinical Manifestations of HistoplasmosisErythema Nodosum and Erythema Multiforme as Clinical Manifestations of Histoplasmosis in a Community OutbreakThe Epidemiology of HistoplasmosisCHARLOTTE C. CAMPBELL, B.S. 1 June 1965Volume 62, Issue 6Page: 1244-1262KeywordsEpidemiologyErythemaHistoplasmosisHospital medicinePathologistsPrevention, policy, and public healthPreventive medicineResearch laboratoriesSkin testsThorax Issue Published: 1 June 1965 PDF downloadLoading ...