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Tennessee Histoplasmosis Cluster Reaches 36 Cases With Source Still Unknown

Health officials have escalated surveillance to identify any shared exposure.

Overview

  • State health officials report 36 confirmed histoplasmosis cases concentrated in Williamson and Maury counties in middle Tennessee.
  • Investigators are examining reports of deaths linked to the cluster, and one woman who died tested positive posthumously, but the cause has not been confirmed pending autopsy.
  • Several patients have been hospitalized, some are critically ill, and at least one person experienced severe complications including cardiac arrest.
  • No common exposure has been identified, and the fungus is known to live in soil contaminated by bird or bat droppings and is not spread between people.
  • The state has issued advisories urging clinicians and labs to test for acute histoplasmosis, noting symptoms can resemble flu and often appear 3 to 17 days after exposure.