{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T13:30:42Z","timestamp":1791725442491,"version":"4.3.4"},"reference-count":256,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,29]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Geographically endemic fungi can cause significant disease among solid organ transplant (SOT) recipients. We provide an update on the epidemiology, clinical presentation, and outcomes of 5 endemic mycoses in SOT recipients.<\/jats:p><\/jats:sec>Methods<\/jats:title>Multiple databases were reviewed from inception through May 2023 using key words for endemic fungi (eg, coccidioidomycosis or Coccidioides, histoplasmosis or Histoplasma, etc). We included adult SOT recipients and publications in English or with English translation.<\/jats:p><\/jats:sec>Results<\/jats:title>Among 16 cohort studies that reported on blastomycosis (n = 3), coccidioidomycosis (n = 5), histoplasmosis (n = 4), and various endemic mycoses (n = 4), the incidence rates varied, as follows: coccidioidomycosis, 1.2%\u20135.8%; blastomycosis, 0.14%\u20130.99%; and histoplasmosis, 0.4%\u20131.1%. There were 204 reports describing 268 unique cases of endemic mycoses, including 172 histoplasmosis, 31 blastomycosis, 34 coccidioidomycosis, 6 paracoccidioidomycosis, and 25 talaromycosis cases. The majority of patients were male (176 of 261 [67.4%]). Transplanted allografts were mostly kidney (192 of 268 [71.6%]), followed by liver (n = 39 [14.6%]), heart (n = 18 [6.7%]), lung (n = 13 [4.9%]), and combined kidney-liver and kidney-pancreas (n = 6 [2.7%]). In all 5 endemic mycoses, most patients presented with fever (162 of 232 [69.8%]) and disseminated disease (179 of 268 [66.8%]). Cytopenias were frequently reported for histoplasmosis (71 of 91 [78.0%]), coccidioidomycosis (8 of 11 [72.7%]) and talaromycosis (7 of 8 [87.5%]). Graft loss was reported in 12 of 136 patients (8.8%). Death from all-causes was reported in 71 of 267 (26.6%); half of the deaths (n = 34 [50%]) were related to the underlying mycoses.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Endemic mycoses commonly present with fever, cytopenias and disseminated disease in SOT recipients. There is a relatively high all-cause mortality rate, including many deaths that were attributed to endemic mycoses.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ofid\/ofae036","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T19:23:10Z","timestamp":1705951390000},"source":"Crossref","is-referenced-by-count":17,"title":["Clinical Characteristics and Outcomes of Endemic Mycoses After Solid Organ Transplantation: A Comprehensive Review"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5183-8239","authenticated-orcid":false,"given":"Cybele Lara R","family":"Abad","sequence":"first","affiliation":[{"name":"Department of Medicine, Section of Infectious Diseases, University of the Philippines Manila, Philippine General Hospital , Manila , Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymund R","family":"Razonable","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Public Health, Infectious Diseases and Occupational Medicine, and The William J Von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic College of Medicine and Sciences , Rochester, Minnesota , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,22]]},"reference":[{"key":"2024032722035522200_ofae036-B1","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1093\/cid\/cit593","article-title":"Histoplasmosis after solid organ transplant","volume":"57","author":"Assi","year":"2013","journal-title":"Clin Infect Dis"},{"key":"2024032722035522200_ofae036-B2","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.1086\/323463","article-title":"Coccidioidomycosis in solid organ transplantation","volume":"33","author":"Blair","year":"2001","journal-title":"Clin Infect 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