We are back at the hospital. The team called last night and said that one of Ryman’s urine culture came back positive for histoplasmosis. Wondering what that is:
Histoplasmosis is an infection caused by a fungus called Histoplasma. The fungus lives in the environment, particularly in soil that contains large amounts of bird or bat droppings. In the United States, Histoplasma mainly lives in the central and eastern states, especially areas around the Ohio and Mississippi River valleys. The fungus also lives in parts of Central and South America, Africa, Asia, and Australia.
People can get histoplasmosis after breathing in the microscopic fungal spores from the air. Although most people who breathe in the spores don’t get sick, those who do may have a fever, cough, and fatigue. Many people who get histoplasmosis will get better on their own without medication, but in some people, such as those who have weakened immune systems, the infection can become severe. Crazy, right? Even crazier that we figured it out.
We were suppose to get admitted tomorrow night and start treatment on Monday but Ryman woke with a 103 fever. We are suppose to bring her in if she has even a fever of 100.3 under the arm. So 103 and we are getting to the hospital fast. We are waiting for our room on the floor but we got an IV in on first try! Thank goodness Chris was here, he is our favorite IV therapy guy. He is usually a night shift guy so the fact that he was here is so amazing. PICC team isn’t in on the weekends so we though we would have a really traumatic time getting an IV stared today. They did a chest X-Ray and it looked clear. Did labs and blood culture and just finished the catheter for a urine culture. We will most likely do a few days of regular antibiotic BUT we will start amphotericin (iv med for the histo). Once better after a few days, we can switch to an oral medication called voriconazole. Per Dr. yazigi her Georgetown doctor. We are looking at a week inpatient at least. Histoplasmosis is endemic to this area and our doctors see it in immune compromised patients a lot. So its totally treatable and we are just so thankful that we have something to actually treat. There are still lots of other labs pending but as of now we will treat this. Her blood count came back at a 7.9 so she may end up getting transfused today. We will be on our downtown apartment #8302 if anyone wants to visit. If you are healthy of course ;). We will be lowering her prograf from a goal of 8 to 2 or 3. So big time prayers that this allows her to fight this and not reject in the meantime.
“I have told you these things, so that in me you may have peace. In this world you will have trouble. But take heart! I have overcome the world.”