<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been experiencing cough, elbow cramps, excessive growth, low back weakness, and decreased appetite. What could this be?  <response>: You might have Histoplasmosis. Its a fungal infection caused by inhaling spores of a fungus called Histoplasma capsulatum, which is found in soil and bird droppings. It can cause respiratory problems, joint pain, malaise, and weight loss. 