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July 1, 2026The Brazilian Journal of Infectious DiseasesOpen Access

Predictors of mortality in hospitalized patients with disseminated histoplasmosis

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Authors

FGF GastaldiUniversidade Federal de UberlândiaFGFranciny M. GastaldiUniversidade Federal de UberlândiaFGFranciny M. GastaldiUniversidade Federal de Uberlândia

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Implication

Retrospective cohort study reveals tachypnea predicts in-hospital mortality in patients with HIV and disseminated histoplasmosis, highlighting simple clinical markers for early triage.

Key Points

  • To identify clinical and laboratory predictors of in-hospital mortality upon admission in hospitalized patients with HIV and disseminated histoplasmosis.
  • Conducted a single-center retrospective cohort study of adult patients with HIV and disseminated histoplasmosis admitted to a Brazilian tertiary hospital between 2009 and 2023 (N=105).
  • Evaluated clinical and laboratory variables present at hospital admission using univariate and multivariate logistic regression models with in-hospital mortality as the primary outcome.
  • The overall in-hospital mortality rate was 28.5% (30/105 deaths), with elevated baseline urea, ferritin, and lactate dehydrogenase (LDH) levels associated with mortality in univariate analysis.
  • Multivariate analysis identified tachypnea at admission as an independent predictor of in-hospital mortality (OR = 3.9; 95% CI 1.39–10.97; p < 0.001).
  • Dysphagia was independently associated with reduced in-hospital mortality (OR = 0.18; 95% CI 0.03–0.98; p = 0.047).

Cite This Study

Gastaldi et al. (2026) studied this question.

synapsesocial.com/papers/6aa4bac4f188d5f0710a49b7https://doi.org/10.1016/j.bjid.2026.105891
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