| Author | Falcão, Eduardo Mastrangelo Marinho | |
| Author | Freitas, Dayvison Francis Saraiva | |
| Author | Coutinho, Ziadir Francisco | |
| Author | Quintella, Leonardo Pereira | |
| Author | Muniz, Mauro de Medeiros | |
| Author | Almeida-Paes, Rodrigo | |
| Author | Zancopé-Oliveira, Rosely Maria | |
| Author | Macedo, Priscila Marques de | |
| Author | Valle, Antonio Carlos Francesconi do | |
| Access date | 2023-12-11T21:42:39Z | |
| Available date | 2023-12-11T21:42:39Z | |
| Document date | 2023 | |
| Citation | FALCÃO, Eduardo Mastrangelo Marinho et al. Trends in the Epidemiological and Clinical Profile of Paracoccidioidomycosis in the Endemic Area of Rio de Janeiro, Brazil. Journal of Fungi, v. 9, n. 946, p. 1-14, Sept. 2023. | en_US |
| ISSN | 2309-608X | |
| URI | https://www.arca.fiocruz.br/handle/icict/61706 | |
| Language | eng | en_US |
| Publisher | MDPI | en_US |
| Rights | open access | en_US |
| Title | Trends in the Epidemiological and Clinical Profile of Paracoccidioidomycosis in the Endemic Area of Rio de Janeiro, Brazil | en_US |
| Type | Article | en_US |
| DOI | 10.3390/jof9090946 | |
| Abstract | Paracoccidioidomycosis (PCM) is a neglected endemic mycosis in Latin America. Most cases occur in Brazil. It is classified as PCM infection and PCM disease and is subdivided into chronic (adult type) or acute (juvenile type) disease, with the latter being less frequent and more severe. In 2016, we reported an increase in the numbers of patients diagnosed with acute PCM after a highway’s construction. We conducted a study at INI-Fiocruz, a reference center for infectious diseases, including endemic mycoses, in Rio de Janeiro, Brazil, aiming to deepen the analysis of this new clinical and epidemiological profile of PCM. The authors developed a retrospective study including 170 patients diagnosed with PCM between 2010 and 2019. There was an increase in the number of atypical and severe forms, starting in 2014. In subsequent years, we detected a higher incidence of adverse outcomes with patients requiring more hospitalizations and an increased mortality rate. We estimate that PCM has become more severe throughout the Rio de Janeiro state, affecting a greater number of young individuals and leading to a greater number of and longer
hospitalizations. Surveillance measures and close monitoring of future notification data in the state, with emphasis on children, adolescents, and young adults are necessary for a better understanding of the perpetuation of this public health challenge. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research on Infectious Dermatology. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research on Infectious Dermatology. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Sergio Arouca National School of Public Health. Germano Sinval Faria School Health Center. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Anatomical Pathology Service. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Mycology Laboratory. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Mycology Laboratory. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Mycology Laboratory. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research on Infectious Dermatology. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research on Infectious Dermatology. Rio de Janeiro, RJ, Brazil. | en_US |
| Subject | Paracoccidioidomycosis | en_US |
| Subject | Neglected Diseases | en_US |
| Subject | Paracoccidioides | en_US |
| Subject | Mycoses | en_US |
| e-ISSN | 2309-608X | |
