[Imported systemic mycoses: are we prepared to diagnose these infections?].

Although Histoplasma capsulatum obviously has been causing infections in animals in Northern Europe, there are no proven autochthonous histoplasmoses in humans. Possibly the increase of coccidioidomycosis (valley fever) in the USA may also lead to more frequently imported infections in Germany. It seems to be plausible that climate change will influence the distribution of obligate fungal pathogens.