title: Bat-associated histoplasmosis can be transmitted at entrances of bat caves and not only inside the caves.
abstract: Our observation of histoplasmosis cases augments the current knowledge on transmission by bats. In the presented cases, the only contact happened in the proximity of a bat cave but not inside the cave. We wish to communicate and stress that even outside of caves, bats may disperse the organism.
authors.affiliation: Department of Infectious Diseases, Medizinische Poliklinik, University Hospital of Munich, Munich, Germany.
authors.forename: Boris
authors.initials: B
authors.lastname: Jülg
authors.forename: Johannes
authors.initials: J
authors.lastname: Elias
authors.forename: Andreas
authors.initials: A
authors.lastname: Zahn
authors.forename: Stefan
authors.initials: S
authors.lastname: Köppen
authors.forename: Christa
authors.initials: C
authors.lastname: Becker-Gaab
authors.forename: Johannes R
authors.initials: JR
authors.lastname: Bogner
mesh_terms: D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002685:Chiroptera; D004197:Disease Reservoirs; D004199:Disease Vectors; D005858:Germany; D006658:Histoplasma / Q000302:isolation & purification; D006660:Histoplasmosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission; D006801:Humans; D019570:Inhalation Exposure; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission; D008297:Male; D014195:Travel; D016896:Treatment Outcome; D014300:Trinidad and Tobago
chemical_list: D000900:Anti-Bacterial Agents