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New 2030 Global Targets for Histoplasmosis from International Society for Human and Animal Mycology (ISHAM) 2025 Histoplasmosis Working Group

  • Alessandro C Pasqualotto*
  • , David W Denning
  • , Nelesh P Govender
  • , Ferry Hagen
  • , Rosely M Zancope-Oliveira
  • , Diego H Caceres
  • , Ugo Francoise
  • , Allan Guimaraes
  • , Lisandra S Damasceno
  • , Diego R Falci
  • , Beatriz L Gomez
  • , Ilan Schwartz
  • , Jose E Vidal
  • , Luis E Galan
  • , Melissa O Xavier
  • , Mathieu Nacher
  • , Guillermo G Effron
  • , Gordon Brown
  • , Nicolas Barros
  • , Cassia M Godoy
  • Taiguara Fraga, Renata B A Soares, Cecilia B Severo, Alexandre V Schwarzbold, Indira Berrio, Marineide G de Melo, Nicole Reis, Bernardo G Tenorio, Terezinha M J Leitao, Claudilson J de C Bastos, Monica B Bay, Marcus V G de Lacerda, Luana C G Bazana, Daiane F Dalla Lana, Tarsila Vieceli, Cezar V W Riche, Eduardo Arathoon, Cristina Canteros, David Boulware, Ana Alastruey-Izquierdo, Rita Oladele, Marcus de M Teixeira, Arnaldo L Colombo, Freddy M Perez, Tom Chiller, Nathan C Bahr, Juan L R Tudela, Antoine Adenis
*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Histoplasmosis remains a neglected yet deadly fungal infection, disproportionately affecting persons living with HIV/AIDS and other immunocompromised populations in endemic regions. Despite the World Health Organization's designation of Histoplasma as a high-priority pathogen, the disease remains underdiagnosed and excluded from national surveillance systems, resulting in delayed treatment and high death rates. To coordinate a global response, the International Society for Human and Animal Mycology convened a Histoplasmosis Working Group during its 2025 congress in Brazil. Experts engaged in structured discussions across 5 domains: awareness, research, diagnostics and treatment, capacity building, and fungal biology. The group highlighted persistent diagnostic delays, underuse of antigen testing, and poor access to liposomal amphotericin B and itraconazole. Innovations such as lateral flow assays and molecular tools were discussed, alongside the need for biobanks and validated diagnostic algorithms. A global 90-90-90 target for histoplasmosis by 2030 was proposed to improve diagnosis, treatment, and survival.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalEmerging infectious diseases
Volume32
Issue number3
DOIs
Publication statusPublished - Mar 2026

Keywords

  • Animals
  • Antifungal Agents/therapeutic use
  • Global Health
  • Histoplasma
  • Histoplasmosis/diagnosis
  • Humans

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