2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Histoplasmosis: Treatment of Asymptomatic <i>Histoplasma</i> Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults, Children, and Pregnant People
Sandra R. Arnold, Andrej Spec, John W. Baddley, Peter J. Pappas, Robert J. Lentz, Joshua Wolf, Carol A. Kauffman, Monica I. Ardura, Nevert Badreldin, Nathan C. Bahr, Karen C. Bloch, Rachel Miller, Satish Mocherla, Michael Saccente, Ilan S. Schwartz, Kayla R. Stover, Nathan P. Wiederhold, Jennifer Loveless
Abstract
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.