Endemic Mycoses Clinical Diagnostic Algorithms

CDC, in conjunction with the Mycoses Study Group Education & Research Consortium (MSGERC) and the Coccidioidomycosis Study Group (CSG), developed a set of algorithms to support the recognition and diagnosis of endemic mycoses in the setting of community-acquired pneumonia (CAP).

These endemic algorithms have been created to help you understand when to “think fungus” and facilitate the diagnosis of  blastomycosis, coccidioidomycosis, and histoplasmosis in the primary care and urgent care setting. We hope you find these helpful. In addition to the algorithms themselves, we have a range of additional resources to assist you in applying them in clinical scenarios.

Community-Acquired Pneumonia (CAP) When to Think Fungus: Blastomycosis

For more details about this clinical testing algorithm, please see the CDC webpage.

Community-Acquired Pneumonia (CAP) When to Think Fungus: Histoplasmosis

For more details about this clinical testing algorithm, please see the CDC webpage.

Community-Acquired Pneumonia (CAP) When to Think Fungus: Coccidioidomycosis

For more details about this clinical testing algorithm, please see the CDC webpage.

Additional Resources and Education

CME/CNE/CPE Activity! Community-Acquired Pneumonia: When to Think Fungus 

This CME/CNE/CPE activity explores community-acquired pneumonia cases, illustrating when to consider coccidioidomycosis, blastomycosis, and histoplasmosis endemic mycoses in the setting of CAP. The activity features use of CDC/MSGERC/CSG algorithms to recognize patients at risk for these infections as well as diagnostic strategies. This activity was developed for a target audience of primary care providers, specialists who prescribe biologics, pulmonologists, as well as urgent care and emergency medicine providers who see patients with community acquired pneumonia. 

Clinical Testing Guidance for Coccidioidomycosis, Histoplasmosis, and Blastomycosis in Patients with Community-Acquired Pneumonia

COCA Call  (Free Continuing Education)

During Fungal Disease Awareness Week
Thursday, September 21, 2023
2:00 pm – 3:00 pm ET

New Publication on the Algorithms! Clinical Testing Guidance for Coccidioidomycosis, Histoplasmosis, and Blastomycosis in Patients with Community-Acquired Pneumonia for Primary and Urgent Care Providers

Published in Clinical Infectious Diseases

Faculty

Blastomycosis Diagnostic Algorithm Subject Matter Expert Group

Peter G. Pappas, MD, FACP (Chair)

Emeritus Professor of Medicine
Division of Infectious Diseases
Department of Medicine
University of Alabama School of Medicine
Principal Investigator, Mycoses Study Group
Birmingham, Alabama

David Andes, MD

Professor
Departments of Medicine, Medical Microbiology, and Immunology
University of Wisconsin
Madison, Wisconsin

Robert W. Bradsher Jr., MD

Ebert Professor Medicine
Division of Infectious Diseases in the Department of Internal Medicine
University of Arkansas for Medical Sciences
Little Rock, Arkansas

Mark H. Ebell, MD, MS

Professor of Epidemiology and Biostatistics
College of Public Health
University of Georgia
Athens, Georgia

Andrej Spec, MD, MSCI, FECMM, FIDSA

Associate Professor of Medicine, Division of Infectious Diseases
Associate Director, Infectious Disease Clinical Research Unit
Director, Invasive Mycoses Clinic
Washington University School of Medicine
St. Louis, Missouri

Histoplasmosis Diagnostic Algorithm Subject Matter Expert Group

John W. Baddley, MD, MSPH (Chair)

Professor of Medicine
University of Maryland School of Medicine
Baltimore, Maryland

Nathan Bahr, MD, MA

Associate Professor
Infectious Diseases
University of Kansas Medical Center
Kansas City, Kansas

Carol A. Kauffman, MD, MACP

Professor Emerita
Internal Medicine and Infectious Diseases
University of Michigan
VA Ann Arbor Healthcare System
Ann Arbor, Michigan

Timothy Mott, MD, FAAFP

Associate Professor
Family Medicine
Uniformed Services University
Inaugural Program Director
Family Medicine Residency Program
South Baldwin Regional Medical Center
Foley, Alabama

Michael Saccente, MD, FACP, FIDSA

Professor of Medicine
Director, Division of Infectious Diseases
University of Arkansas for Medical Sciences
Central Arkansas Veterans Healthcare System
Little Rock, Arkansas

Andrej Spec, MD, MSCI, FECMM, FIDSA

Associate Professor of Medicine, Division of Infectious Diseases
Associate Director, Infectious Disease Clinical Research Unit
Director, Invasive Mycoses Clinic
Washington University School of Medicine
St. Louis, Missouri

Coccidioidomycosis Diagnostic Algorithm Subject Matter Expert Group

George R. Thompson, MD, FIDSA, FECMM (Chair)

Professor of Medicine
Department of Internal Medicine, Division of Infectious Diseases
Clinical Consultant UC-Davis Center for Coccidioidomycosis
Department of Medical Microbiology & Immunology
University of California – Davis
Sacramento, California

Janis E. Blair, MD

Professor of Medicine
Mayo Clinic College of Medicine and Sciences
Director, Valley Fever Clinic
Consultant, Division of Infectious Diseases
Mayo Clinic Arizona
Phoenix, Arizona

John Galgiani, MD

Director, Valley Fever Center for Excellence
Professor of Medicine & Immunobiology
College of Medicine – Tucson
Professor, BIO5 Institute
Professor of Internal Medicine
College of Medicine – Phoenix,
University of Arizona College of Medicine
Tuscan, Arizona

Royce H Johnson, MD, FACP, FIDSA

Chief, Infectious Disease, Department of Medicine, Kern Medical
Medical Director, Valley Fever Institute
Professor of Medicine, David Geffen School of Medicine
University of California
Los Angeles, California

Richard Rutherford, MD, FAAFP

Attending Physician and Director of Quality and Safety Emergency Medicine
Ventura County Medical Center
Ventura, California