Paracoccidioidomycosis: An Endemic Mycosis in the Americas

2015 ◽  
pp. 254-273
Author(s):  
Carlos Taborda ◽  
Luiz Travassos
Keyword(s):  
2015 ◽  
Vol 57 (suppl 19) ◽  
pp. 21-24 ◽  
Author(s):  
Carlos. P. TABORDA ◽  
M.E. URÁN ◽  
J. D. NOSANCHUK ◽  
L.R. TRAVASSOS

SUMMARYParacoccidioidomycosis (PCM), caused by Paracoccidioides spp, is an important endemic mycosis in Latin America. There are two recognized Paracoccidioides species, P. brasiliensis and P. lutzii, based on phylogenetic differences; however, the pathogenesis and disease manifestations of both are indistinguishable at present. Approximately 1,853 (~51,2%) of 3,583 confirmed deaths in Brazil due to systemic mycoses from 1996-2006 were caused by PCM. Antifungal treatment is required for patients with PCM. The initial treatment lasts from two to six months and sulfa derivatives, amphotericin B, azoles and terbinafine are used in clinical practice; however, despite prolonged therapy, relapses are still a problem. An effective Th1-biased cellular immune response is essential to control the disease, which can be induced by exogenous antigens or modulated by prophylactic or therapeutic vaccines. Stimulation of B cells or passive transference of monoclonal antibodies are also important means that may be used to improve the efficacy of paracoccidioidomycosis treatment in the future. This review critically details major challenges facing the development of a vaccine to combat PCM.


2019 ◽  
Vol 4 (1) ◽  
pp. 25 ◽  
Author(s):  
Stephen Muhi ◽  
Amy Crowe ◽  
John Daffy

Histoplasma capsulatum is an endemic mycosis with a widespread distribution, although it is infrequently reported in travellers. In April 2018, five television crew members developed an acute febrile illness after filming a documentary about vampire bats in Guatemala. Patients developed symptoms after travelling to Australia, where they presented for medical care.


2014 ◽  
Vol 192 (3) ◽  
pp. 1107-1119 ◽  
Author(s):  
Huafeng Wang ◽  
Vanessa LeBert ◽  
Chiung Yu Hung ◽  
Kevin Galles ◽  
Shinobu Saijo ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
F. Ahumada ◽  
D. Pérez ◽  
M. de Górgolas ◽  
B. Álvarez ◽  
A. Ríos ◽  
...  

Histoplasmosis is an endemic mycosis of the Americas, Africa, and Asia. In Spain, it is the most common imported endemic mycosis appearing in the literature, and its incidence is on the rise. Proper differential diagnosis of the disease must be taken into consideration by otorhinolaryngologists, as the clinical manifestations of histoplasmosis may simulate more prevalent diseases such as cancer or tuberculosis. We present the case of a Spanish patient with focal involvement of the larynx and offer a review of the relevant literature.


Author(s):  
Héctor Rubinstein ◽  
Blanca Marticorena ◽  
Diana Masih ◽  
Noemi Borletto ◽  
Raul Vega ◽  
...  

The present study was carried out in two different areas of Province of Cordoba, Argentina, where there was a suspicious of endemic mycosis. The previous data were the presence of a clinical case of pulmonary cryptococcosis in one area (Alta Gracia) and the previous findings of a high incidence of coccidioidin and cryptococcin reactors in the population of the second one (Villa Dolores). In both areas soil samples for fungi were studied and Cryptococcus neoformans was found in 2/25 samples from Alta Gracia. In Villa Dolores Coccidioides immitis was isolated in 2/40 samples, and C. neoformans in 1/40 samples. Delayed hypersensitivity test with cryptococcin was determined in the population from Alta Gracia and it was found to be 5.3%. Positive cutaneous tests with coccidioidin (33.8%) and cryptococcin (31.9%) in Villa Dolores were obtained. With these findings two endemic areas of systemic mycoses in Cordoba, Argentina were delimited.


2011 ◽  
Vol 6 (03) ◽  
pp. 301
Author(s):  
Mey Leon ◽  
Jorge Alave ◽  
Beatriz Bustamante ◽  
Eduardo Gotuzzo ◽  
Carlos Seas

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