Testing Algorithms for Fungal Pneumonias | Fungal Diseases

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data-post-id="27687" href="/fungal/hcp/clinical-care/index.html" tabindex="0"> Clinical Care and Treatment </a> <a data-post-id="26614" href="/fungal/hcp/laboratories/index.html" tabindex="0"> Laboratory Information </a> <a data-post-id="26622" href="/fungal/hcp/communication-resources/index.html" tabindex="0"> Webinars, Podcasts, and Clinical Tools </a> <a data-post-id="26239" href="/fungal/hcp/covid-fungal/index.html" tabindex="0"> Fungal Diseases and COVID-19 </a> <a class="view-all" href="/fungal/site.html"> View All </a> </div> </div> </header> <main class="container cdc-main" role="main" aria-label="Main Content Area"> <section class="cdc-page-title-bar cdc-page-offset noindex"> <time class="cdc-page-title-bar__item cdc-page-title-bar__item--date" datetime="2024-04-25 04:00:00"> April 25, 2024 </time> </section> <div class="cdc-page-title cdc-page-offset syndicate "> <ul class="breadcrumbs"> </ul> <h1>Testing Algorithms for Fungal Pneumonias</h1> <div class="page-subtitle">Healthcare provider tools for community-acquired pneumonias</div></div> <div id="content" class="cdc-page-content cdc-page-offset syndicate container"> <div class="cdc-dfe-body "> <div class="cdc-dfe-body__top "> <div class="dfe-section dfe-section--page-summary summary-blurb summary-list" data-section="cdc_generic_summary"> <div class="dfe-section__header"> <h2>Key points</h2> </div> <div class="dfe-section__content"> <ul class="nested-list"> <li class="level-1">Fungal pneumonias are often misdiagnosed or are diagnosed late, leading to potentially life-threatening treatment delays.<ul> </ul> </li> <li class="level-1">In parts of the United States, common endemic community-acquired pneumonias include blastomycosis, histoplasmosis, and coccidioidomycosis (Valley fever).<ul> </ul> </li> <li class="level-1">Clinicians can use these algorithms to guide diagnostic and treatment decisions.<ul> </ul> </li> </ul> <div class="dfe-section__nav hide" id="dfe-section__nav"> <div class="dfe-section__nav__header" id="dfe-section__nav__header"> </div> <div class="dfe-section__nav-links" id="dfe-section__nav-links"> </div> </div> </div> <div class="dfe-section__image" id="page-summary-image"> <figure class="dfe-image dfe-image__large"><div class="image-container fluid aspect-ratio-16-9 stretch"><img src="/fungal/images/ThreeTogether_20190925.jpg" alt="Map of the United States showing CDC’s current estimates of where the fungi that cause blastomycosis, coccidioidomycosis (Valley fever), and histoplasmosis live in the environment" title="ThreeTogether_20190925"></div></figure> </div> <div id="nav-buttons"> </div> </div> </div> <div class="cdc-dfe-body__center "> <div class="dfe-section" data-section="cdc_generic_section_1"> <a class="onThisPageAnchor" id="cdc_generic_section_1-overview" name="Overview" title="Overview"></a><h2>Overview</h2> <p>Three fungal community-acquired pneumonias (CAP) found in different parts of the United States are coccidioidomycosis (Valley fever), histoplasmosis, and blastomycosis. These are also often referred to as endemic myocoses.</p> <p>Guidelines exist for bacterial and viral pneumonias, leaving a gap in guidance on fungal pneumonias. </p> <p>These three testing algorithms can inform clinical decisions on diagnostics and treatment for each of the three endemic mycoses. </p> </div> <div class="dfe-section" data-section="cdc_generic_section_2"> <a class="onThisPageAnchor" id="cdc_generic_section_2-clinical-testing-guidance" name="Clinical%20testing%20guidance" title="Clinical testing guidance"></a><h2>Clinical testing guidance</h2> <div class="dfe-links-layout--featured"><div class="dfe-curated-link dfe-curated-link--featured" data-post="1625_66"><div class="dfe-curated-link__image dfe-image featured"><a href="/blastomycosis/hcp/testing-algorithm/index.html" title="Testing Algorithm for Blastomycosis"><img src="/blastomycosis/media/images/2024/05/Screenshot-77.png" alt="Map showing the spread of Blastomycosis within the U.S." title="map showing the spread of blastomycosis within the u.s."></a></div> <div class="dfe-curated-link__content featured"><div class="dfe-curated-link__title"><a class="cdc-block-link" href="/blastomycosis/hcp/testing-algorithm/index.html">Testing Algorithm for Blastomycosis</a></div> <div class="dfe-curated-link__desc">Algorithm to guide testing and treatment decisions for blastomycosis in people with pneumonia.</div> <time class="dfe-curated-link__date">Apr. 24, 2024</time> <div class="featured download"></div></div> <div class="dfe-curated-link__download"></div></div> <div class="dfe-curated-link dfe-curated-link--featured" data-post="1638_115"><div class="dfe-curated-link__image dfe-image featured"><a href="/histoplasmosis/hcp/algorithm/index.html" title="Testing Algorithm for Histoplasmosis"><img src="/histoplasmosis/media/images/2024/05/Screenshot-78.png" alt="Map showing the spread of Histoplasmosis within the U.S." title="map showing the spread of histoplasmosis within the u.s."></a></div> <div class="dfe-curated-link__content featured"><div class="dfe-curated-link__title"><a class="cdc-block-link" href="/histoplasmosis/hcp/algorithm/index.html">Testing Algorithm for Histoplasmosis</a></div> <div class="dfe-curated-link__desc">Algorithm to guide testing and treatment decisions about histoplasmosis in patients with pneumonia.</div> <time class="dfe-curated-link__date">May 13, 2024</time> <div class="featured download"></div></div> <div class="dfe-curated-link__download"></div></div> <div class="dfe-curated-link dfe-curated-link--featured" data-post="1628_59"><div class="dfe-curated-link__image dfe-image featured"><a href="/valley-fever/hcp/testing-algorithm/index.html" title="Testing Algorithm for Coccidioidomycosis"><img src="/valley-fever/media/images/2024/05/usavalleyfevermap.jpg" alt="Map of the US showing areas in the southeast with Valley fever." title="map of areas with valley fever"></a></div> <div class="dfe-curated-link__content featured"><div class="dfe-curated-link__title"><a class="cdc-block-link" href="/valley-fever/hcp/testing-algorithm/index.html">Testing Algorithm for Coccidioidomycosis</a></div> <div class="dfe-curated-link__desc">Clinical algorithm to guide testing and treatment for Valley fever in patients with pneumonia.</div> <time class="dfe-curated-link__date">May 10, 2024</time> <div class="featured download"></div></div> <div class="dfe-curated-link__download"></div></div></div><div class="dfe-block dfe-block--keep_reading"><b>Keep Reading:</b> <a href="/fungal/cap/index.html">Fungal Community-Acquired Pneumonias</a></div><p>These algorithms were developed by CDC, Mycoses Study Group, and Coccidioidomycosis Study Group. 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