Paracoccidioidomycosis case series with and without central nervous system involvement
INTRODUCTION: Paracoccidioidomycosis (PCM) is the most important systemic mycosis in South America. Central nervous system involvement is potentially fatal and can occur in 12.5% of cases. This paper aims to contribute to the literature describing eight cases of neuroparacoccidioidomycosis (NPMC) an...
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Sociedade Brasileira de Medicina Tropical (SBMT)
2012-10-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000500009&lng=en&tlng=en |
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| author | Vinicius Sousa Pietra Pedroso Ana Claudia Lyon Stanley Almeida Araújo Juliana Márcia Ribeiro Veloso Enio Roberto Pietra Pedroso Antônio Lucio Teixeira |
| author_facet | Vinicius Sousa Pietra Pedroso Ana Claudia Lyon Stanley Almeida Araújo Juliana Márcia Ribeiro Veloso Enio Roberto Pietra Pedroso Antônio Lucio Teixeira |
| author_sort | Vinicius Sousa Pietra Pedroso |
| collection | DOAJ |
| description | INTRODUCTION: Paracoccidioidomycosis (PCM) is the most important systemic mycosis in South America. Central nervous system involvement is potentially fatal and can occur in 12.5% of cases. This paper aims to contribute to the literature describing eight cases of neuroparacoccidioidomycosis (NPMC) and compare their characteristics with patients without neurological involvement, to identify unique characteristics of NPCM. METHODS: A cohort of 213 PCM cases was evaluated at the Infectious Diseases Clinic of the University Hospital, Federal University of Minas Gerais, Brazil, from October 1976 to August 2008. Epidemiological, clinical, laboratory, therapeutic and follow-up data were registered. RESULTS: Eight patients presented NPCM. The observed NPCM prevalence was 3.8%. One patient presented the subacute form of PCM and the other seven presented the chronic form of the disease. The parenchymatous form of NPCM occurred in all patients. 60% of the patients who proceeded from the north/ northeast region of Minas Gerais State developed NPCM. The neurological involvement of a mother and her son was observed. NPCM patients exhibited demographical and clinical profiles similar to what is described in the literature. When NPCM cases were compared to PCM patients, there were differences in relation to origin and positive PCM family history. CONCLUSIONS: The results corroborate the clinical view that the neurological findings are extremely important in the evaluation of PCM patients. Despite the limitations of this study, the differences in relation to patient's origins and family history point to the need of further studies to determine the susceptibility factors involved in the neurological compromise. |
| first_indexed | 2024-04-13T20:56:07Z |
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| id | doaj.art-422d9f39c67d4284a4942a7e7c2de393 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-04-13T20:56:07Z |
| publishDate | 2012-10-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-422d9f39c67d4284a4942a7e7c2de3932022-12-22T02:30:19ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492012-10-0145558659010.1590/S0037-86822012000500009S0037-86822012000500009Paracoccidioidomycosis case series with and without central nervous system involvementVinicius Sousa Pietra Pedroso0Ana Claudia Lyon1Stanley Almeida Araújo2Juliana Márcia Ribeiro Veloso3Enio Roberto Pietra Pedroso4Antônio Lucio Teixeira5Universidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisINTRODUCTION: Paracoccidioidomycosis (PCM) is the most important systemic mycosis in South America. Central nervous system involvement is potentially fatal and can occur in 12.5% of cases. This paper aims to contribute to the literature describing eight cases of neuroparacoccidioidomycosis (NPMC) and compare their characteristics with patients without neurological involvement, to identify unique characteristics of NPCM. METHODS: A cohort of 213 PCM cases was evaluated at the Infectious Diseases Clinic of the University Hospital, Federal University of Minas Gerais, Brazil, from October 1976 to August 2008. Epidemiological, clinical, laboratory, therapeutic and follow-up data were registered. RESULTS: Eight patients presented NPCM. The observed NPCM prevalence was 3.8%. One patient presented the subacute form of PCM and the other seven presented the chronic form of the disease. The parenchymatous form of NPCM occurred in all patients. 60% of the patients who proceeded from the north/ northeast region of Minas Gerais State developed NPCM. The neurological involvement of a mother and her son was observed. NPCM patients exhibited demographical and clinical profiles similar to what is described in the literature. When NPCM cases were compared to PCM patients, there were differences in relation to origin and positive PCM family history. CONCLUSIONS: The results corroborate the clinical view that the neurological findings are extremely important in the evaluation of PCM patients. Despite the limitations of this study, the differences in relation to patient's origins and family history point to the need of further studies to determine the susceptibility factors involved in the neurological compromise.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000500009&lng=en&tlng=enParacoccidioidomicoseNeuroparacoccidioidomicoseEpidemiologiaSérie de casos |
| spellingShingle | Vinicius Sousa Pietra Pedroso Ana Claudia Lyon Stanley Almeida Araújo Juliana Márcia Ribeiro Veloso Enio Roberto Pietra Pedroso Antônio Lucio Teixeira Paracoccidioidomycosis case series with and without central nervous system involvement Revista da Sociedade Brasileira de Medicina Tropical Paracoccidioidomicose Neuroparacoccidioidomicose Epidemiologia Série de casos |
| title | Paracoccidioidomycosis case series with and without central nervous system involvement |
| title_full | Paracoccidioidomycosis case series with and without central nervous system involvement |
| title_fullStr | Paracoccidioidomycosis case series with and without central nervous system involvement |
| title_full_unstemmed | Paracoccidioidomycosis case series with and without central nervous system involvement |
| title_short | Paracoccidioidomycosis case series with and without central nervous system involvement |
| title_sort | paracoccidioidomycosis case series with and without central nervous system involvement |
| topic | Paracoccidioidomicose Neuroparacoccidioidomicose Epidemiologia Série de casos |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000500009&lng=en&tlng=en |
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