This fungus mainly grows in the central, southeastern, and mid-Atlantic states. Most cases of histoplasmosis don’t require treatment. What effect does plaquenil have on the body Side effects of plaquenil 400 mg Chloroquine keratopathy Plaquenil lyme cysts Histoplasmosis is an infection caused by the fungus Histoplasma capsulatum. Disseminated histoplasmosis rarely presents in the larynx and may mimic the appearance of a laryngeal neoplasm. Here, we present a case of laryngeal histoplasmosis in an elderly patient undergoing treatment for rheumatoid arthritis with immunosuppressive medications. Hydroxychloroquine is usually taken with food or milk to prevent stomach upset. The dosage and length of treatment are based on your medical condition and response to therapy. In children, dosage is also based on weight. A 61-year-old truck driver developed a fever, cough, and shortness of breath requiring oxygen support and antibiotics. He had rheumatoid arthritis controlled with methotrexate and hydroxychloroquine. His occupation required delivering produce to and from the Mississippi River Valley to Ontario, Canada. The disease may progress and spread to other areas of the body. However, people with weaker immune systems may experience serious problems. Hydroxychloroquine with histoplasmosis RESEARCH ARTICLE Open Access Histoplasmosis infection in., Hydroxychloroquine Oral Uses, Side Effects, Interactions. Plaquenil screening eye examPlaquenil killsHydroxychloroquine 200 mg tablet cost Disseminated histoplasmosis is when the infection progresses and spreads outside the lungs and throughout the body affecting multiple organs and causing severe illness. This usually occurs only in people who have a lowered immunity. The most common symptoms of disseminated histoplasmosis are Histoplasmosis Symptoms, Causes and Risk Factors.. Histoplasmosis-induced pancytopenia Blood American.. Histoplasmosis - Symptoms and causes - Mayo Clinic. The lungs are the primary site of histoplasmosis disease, but the infection can spread to many parts of the body. In Olson's study, 46 percent of the patients had severe disseminated disease beyond the lungs. Olson encouraged rheumatoid arthritis patients and physicians to be alert to the possibility of histoplasmosis infection. With Histoplasmosis Stephen S. Feman, MD, Ron H. Tilford, MD Presumed ocular histoplasmosis syndrome is a multifocal choroiditis; it is not an uncommon cause of visual loss in patients who have positive cutaneous responses to histoplasmin tests. However, Histoplasma capsula-. ing hydroxychloroquine sulfate therapy, Hemophagocytic lymphohistiocytosis HLH in adults is a life‐threatening underdiagnosed disorder that complicates different infectious syndromes and overlaps with sepsis. No guidelines are available for the management of HLH in adults. A high index of suspicion is required in patients with disseminated histoplasmosis.