{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T20:52:52Z","timestamp":1789764772446,"version":"4.0.1"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>I was consulted on a patient with disseminated histoplasmosis (affecting the lungs, liver, spleen, and bone marrow) when she was 20 weeks pregnant. In the hospital, she improved with amphotericin B but did not tolerate itraconazole. I scoured the literature to find the safest next steps for my patient and her unborn baby but was shocked at how little published information exists. We decided on amphotericin therapy via OPAT and switched to posaconazole after delivery. Her infant was asymptomatic but also treated with antifungals due to positive Histoplasma testing after birth. Our discussions, findings, and her clinical course prompted the adjoining review of histoplasmosis in pregnancy which is intended to help guide clinicians and patients if they face similar circumstances. I asked my patient if she wanted to contribute, and she wrote the following heartfelt essay. On paper, she and her baby did well, but that does not capture her harrowing journey and difficult decisions like her own words do.<\/jats:p>","DOI":"10.1093\/ofid\/ofag547","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:42:47Z","timestamp":1787312567000},"source":"Crossref","is-referenced-by-count":1,"title":["My Hospital Journey With Histoplasmosis During Pregnancy"],"prefix":"10.1093","volume":"13","author":[{"given":"Paige","family":"Bixby","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota , Minneapolis, Minnesota ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3274-2661","authenticated-orcid":false,"given":"Meredith","family":"Kavalier","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota , Minneapolis, Minnesota ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"2026091805321064500_ofag547-B1","doi-asserted-by":"crossref","first-page":"657.e1","DOI":"10.1016\/j.ajog.2015.11.022","article-title":"Fluconazole use and birth defects in the National Birth Defects Prevention Study","volume":"214","author":"Howley","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"2026091805321064500_ofag547-B2","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1056\/NEJMoa1301066","article-title":"Use of oral fluconazole during pregnancy and the risk of birth defects","volume":"369","author":"M\u00f8lgaard-Nielsen","year":"2013","journal-title":"N Engl J Med"},{"key":"2026091805321064500_ofag547-B3","doi-asserted-by":"crossref","DOI":"10.1093\/ofid\/ofag546","article-title":"Histoplasmosis in pregnancy: a review and patient perspective","author":"Kavalier","year":"2026","journal-title":"Open Forum Infect Dis"},{"key":"2026091805321064500_ofag547-B4","doi-asserted-by":"crossref","first-page":"i39","DOI":"10.1093\/cid\/ciaf258","article-title":"2025 clinical practice guideline update by the Infectious Diseases Society of America on histoplasmosis: treatment of mild or moderate acute pulmonary histoplasmosis in adults, children, and pregnant people","volume":"81","author":"Pappas","year":"2026","journal-title":"Clin Infect Dis"}],"container-title":["Open Forum Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ofid\/advance-article-pdf\/doi\/10.1093\/ofid\/ofag547\/70828227\/ofag547.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ofid\/article-pdf\/13\/9\/ofag547\/70828227\/ofag547.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ofid\/article-pdf\/13\/9\/ofag547\/70828227\/ofag547.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T09:32:21Z","timestamp":1789723941000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ofid\/article\/doi\/10.1093\/ofid\/ofag547\/8772352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ofid\/ofag547","relation":{},"ISSN":["2328-8957"],"issn-type":[{"value":"2328-8957","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,28]]},"article-number":"ofag547"}}