# Cave-Associated Histoplasmosis Outbreak Among Travelers Returning from Costa Rica — Georgia, Texas, and Washington, December 2024–January 2025

**Authors:** Ria R. Ghai, Elizabeth T. Sajewski, Mitchell Blass, Hayley Belles, Hope Dishman, Julie Gabel, BreeAnna Dell, Mariah Harper, Hanna N. Oltean, Olivia Smith, Emeka Ogwuegbu, Saad Zaheer, Alexander Jordan, Meghan Lyman, Ian Hennessee, Mitsuru Toda

PMC · DOI: 10.15585/mmwr.mm7417a1 · Morbidity and Mortality Weekly Report · 2025-05-15

## Full-text entities

- **Diseases:** cough (MESH:D003371), fever (MESH:D005334), erythema nodosum (MESH:D004893), Cave-Associated Histoplasmosis (MESH:D006660), myalgia (MESH:D063806), chest pain (MESH:D002637), Fungal (MESH:D009181), infectious disease (MESH:D003141), chills (MESH:D023341), lung cancer (MESH:D008175), respiratory and gastrointestinal symptoms (MESH:D012818), pulmonary nodules and opacities (MESH:D055613), headache (MESH:D006261), erythema multiforme rash (MESH:D004892), shortness of breath (MESH:D004417)
- **Chemicals:** voriconazole (MESH:D065819), itraconazole (MESH:D017964), amphotericin B (MESH:D000666)
- **Species:** Histoplasma (genus) [taxon 5036], Bacillus sp. AT (species) [taxon 1196779], Homo sapiens (human, species) [taxon 9606], Histoplasma capsulatum (species) [taxon 5037], Chiroptera (bats, order) [taxon 9397]

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## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC12080730/full.md

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Source: https://tomesphere.com/paper/PMC12080730