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2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Histoplasmosis: Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults, Children, and Pregnant People.

Publication ,  Journal Article
Arnold, SR; Spec, A; Baddley, JW; Pappas, P; Lentz, RJ; Wolf, J; Kauffman, CA; Ardura, MI; Badreldin, N; Bahr, NC; Bloch, K; Miller, RA ...
Published in: Clin Infect Dis
January 16, 2026

As the first part of an update to the clinical practice guideline on the management of histoplasmosis in adults, children, and pregnant people, developed by the Infectious Diseases Society of America, we present 4 updated recommendations. These recommendations span treatment of asymptomatic Histoplasma pulmonary nodules (histoplasmomas), mild acute pulmonary histoplasmosis, and moderate acute pulmonary histoplasmosis. The panel's recommendations are based on evidence derived from systematic literature reviews and adhere to a standardized methodology for rating the certainty of evidence and strength of recommendation according to the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach.

Duke Scholars

Published In

Clin Infect Dis

DOI

EISSN

1537-6591

Publication Date

January 16, 2026

Volume

81

Issue

Supplement_3

Start / End Page

i27 / i32

Location

United States

Related Subject Headings

  • Societies, Medical
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Microbiology
  • Lung Diseases, Fungal
  • Humans
  • Histoplasmosis
  • Histoplasma
  • Female
  • Child
 

Citation

APA
Chicago
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MLA
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Arnold, S. R., Spec, A., Baddley, J. W., Pappas, P., Lentz, R. J., Wolf, J., … Loveless, J. (2026). 2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Histoplasmosis: Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults, Children, and Pregnant People. Clin Infect Dis, 81(Supplement_3), i27–i32. https://doi.org/10.1093/cid/ciaf256
Arnold, Sandra R., Andrej Spec, John W. Baddley, Peter Pappas, Robert J. Lentz, Joshua Wolf, Carol A. Kauffman, et al. “2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Histoplasmosis: Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults, Children, and Pregnant People.Clin Infect Dis 81, no. Supplement_3 (January 16, 2026): i27–32. https://doi.org/10.1093/cid/ciaf256.
Arnold SR, Spec A, Baddley JW, Pappas P, Lentz RJ, Wolf J, Kauffman CA, Ardura MI, Badreldin N, Bahr NC, Bloch K, Miller RA, Mocherla S, Saccente M, Schwartz I, Stover KR, Wiederhold NP, Loveless J. 2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Histoplasmosis: Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults, Children, and Pregnant People. Clin Infect Dis. 2026 Jan 16;81(Supplement_3):i27–i32.
Journal cover image

Published In

Clin Infect Dis

DOI

EISSN

1537-6591

Publication Date

January 16, 2026

Volume

81

Issue

Supplement_3

Start / End Page

i27 / i32

Location

United States

Related Subject Headings

  • Societies, Medical
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Microbiology
  • Lung Diseases, Fungal
  • Humans
  • Histoplasmosis
  • Histoplasma
  • Female
  • Child