Dermatomicosis en areneros del Rio Medellin / Dermatomicosis in workers with sand from Medellin River

En 105 trabajadores dedicados a la extraccion de arena del rio Medellin se demostro una alta frecuencia (65.7%) de dermatomicosis; las entidades mas frecuentes fueron las dermatofitosis y las candidiasis; se hallaron ademas pitiriasis, tricosporiasis, geotricosis e infecciones de etiologia mixta; fue frecuente hallas lesiones en mas de un sitio; los agentes etiologicos mas comunmente comprobados fueron el Trichophyton mentagrophytes, el tichophyton rubruml, la candida albicans y la candida guillermondii; setenta y seis de las 95 lesiones (80.0%) afectaban los pies; por esta circunstancia y por los varios factores predisponentes se propone que las dermatomicosis, en particular las de los pies, son una enfermedad ocupacional de los areneros.

Vulvovaginitis candidiasica: patogenesis, recurrencias y tratamiento / Vulvovaginitis due to candida: pathogenesis, recurrence and treatment

One of the main causes for women consultation are genital infectious diseases manifested as vaginal discharge. Infection due to Candida species is currently regarded as the second commonest cause of vaginitis in Colombia. Therapy with antibiotics and oral contraceptives, hormone imbalances, physical factors and immunological defects are frequently associated to vulvovaginal candidiasis. For reasons that are not clear many women are colonized but only a small minority develop symptoms, that readily respond to topical intravaginal antifungal agents, and an even smaller number have frequent recurrent symptoms. Despite the fact that symptoms and signs are not specific, pruritus and white discharge are predominant complaints. Experimental studies have shown that 100 yeasts are the minimal inoculum for causing clinical manifestations of infection and that the incubation period is between one and four days. It is also known that for isolation of one colony in solid culture 100 yeatst per ml of vaginal discharge are required, while for direct microscopical observation 100,000 are necesary. Most symptomatic women have positive direct examination while it is exceptionally positive in asymptomatic cases; false negative direct examination is extremely rare in symptomatic patients. Culture is only needed in symptomatic women in whom the direct examination of vaginal discharge is negative and other etiologies...

Flujo vaginal: experiencia con el diagnostico microbiologico de 1178 casos / Vaginal discharge: experience with microbiologic diagnosis of 1178 cases

En 1985 estudiamos, desde el punto de vista del laboratorio, 1178 mujeres adultas para definir la etiologia de su flujo vaginal; se diagnostico vaginosis bacteriana (vaginitis asociada a Gardnerella vaginalis) en 25.3% de los casos, candidiasis en 13.9% y Tricomoniasis en 2.9% en tres pacientes habia levaduras de los generos Geotrichum o Trichosporon cuyo significado en la vagina es desconocido y amerita ser estudiado