Paracoccidiomicosis: Clínica, Epidemiología y tratamiento
characterize from the clinical, epidemiological and treatment point of view, patients with diagnosis of paracoccidioidomycosis, evaluated in the outpatient clinic at the Medical Mycology Section, IMT - UCV and from other hospitals in the Gran Caracas area, whose samples were processed in this instit...
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2014
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| Online Access: | http://hdl.handle.net/10872/7979 |
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| Summary: | characterize from the clinical, epidemiological and treatment point of view, patients with diagnosis of paracoccidioidomycosis, evaluated in the outpatient clinic at the Medical Mycology Section, IMT - UCV and from other hospitals in the Gran Caracas area, whose samples were processed in this institution, between the years 2001 - 2011. Methods: descriptive study of records, in which the history of patients with a diagnosis of paracoccidioidomycosis were taken into account. Results: the male:female ratio obtained was 6,5:1. 29,16% of patients had agricultural occupations. The most common symptoms were cough (50%) and weight loss (45,06%) and the most common signs were oropharyngeal lesions (53.6%) and adenopathy (27.2%). Concomitantly, 7.65% had HIV/AIDS infection, 5.61% tuberculosis and 6.63% histoplasmosis. Direct examination was positive in 87.5% of cases, culture in 62,90% and serology in 88,46%. Overall mortality was 4,11%. Discussion: paracoccidioidomycosis is a disease that can occur in immunocompetent and immunocompromised patients; currently it tends to appear more frequently in patients with AIDS. The number of cases among female patients has increased. Research on the place of birth, the origin and the occupation of the patient is important to consider in the diagnosis. This should be taken into consideration in an endemic country like ours. Its diagnosis is relatively easy in the hands of trained personnel. |
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