Navegando por Palavras-chave "endemic mycoses"

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    Epidemiology of endemic systemic fungal infections in Latin America
    (Informa Healthcare, 2011-11-01) Colombo, Arnaldo Lopes [UNIFESP]; Tobon, Angela; Restrepo, Angela; Queiroz-Telles, Flavio; Nucci, Marcio; Universidade Federal de São Paulo (UNIFESP); Corp Invest Biol; Univ Fed Parana; Universidade Federal do Rio de Janeiro (UFRJ)
    Although endemic mycoses are a frequent health problem in Latin American countries, clinical and epidemiological data remain scarce and fragmentary. These mycoses have a significant impact on public health, and early diagnosis and appropriate treatment remain important. the target population for endemic disease in Latin America is mostly represented by low-income rural workers with limited access to a public or private health system. Unfortunately, diagnostic tools are not widely available in medical centers in Latin America; consequently, by the time patients are diagnosed with fungal infection, many are already severely ill. Among immunocompromised patients, endemic mycoses usually behave as opportunistic infections causing disseminated rather than localized disease. This paper reviews the epidemiology of the most clinically significant endemic mycoses in Latin America: paracoccidioidomycosis, histoplasmosis, and coccidioidomycosis. the burdens of disease, typically affected populations, and clinical outcomes also are discussed.
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    Mycoses of implantation in Latin America: an overview of epidemiology, clinical manifestations, diagnosis and treatment
    (Informa Healthcare, 2011-04-01) Queiroz-Telles, Flavio; Nucci, Marcio; Colombo, Arnaldo Lopes [UNIFESP]; Tobon, Angela; Restrepo, Angela; Univ Fed Parana; Universidade Federal do Rio de Janeiro (UFRJ); Universidade Federal de São Paulo (UNIFESP); Corp Invest Biol
    Implantation or subcutaneous mycoses are a frequent health problem in Latin American countries and other tropical and subtropical areas. Although such infections rarely cause disseminated or invasive disease, they have an important impact on public health, and timely diagnosis and appropriate treatment remain important. Although some implantation mycoses are found in immunocompromised persons, the immunocompetent population is the principal target in Latin America. Most etiologic agents are found in soil, vegetation, and decaying matter in tropical, subtropical, and humid environments and infection is commonly the result of penetrating injury. Infections primarily occur (1) among low socioeconomic groups, (2) among those living in rural areas or involved in farming, hunting, or other outdoor activities, and (3) particularly among adult men. This review focuses on the epidemiology of the most clinically significant implantation mycoses in Latin America, i.e., sporotrichosis, eumycetoma, chromoblastomycosis, subcutaneous phaeohyphomycosis, subcutaneous zygomycosis, and lacaziosis. Main epidemiologic findings, clinical manifestations, diagnosis, and treatment options are also discussed.