Study of 30 cases of histoplasmosis observed in the Mato Grosso do Sul State, Brazil
Rev. Inst. Med. Trop. Säo Paulo
;
49(1): 37-39, Jan.-Feb. 2007.
Article
in English
| LILACS
| ID: lil-444575
ABSTRACT
Thirty cases of histoplasmosis observed at the University Hospital of the Federal University of Mato Grosso do Sul (HU-UFMS) from January 1998 to December 2005 are reported. Most (83.3 percent) of the patients were men, average 33.4 years old, 63.3 percent of them were born and living in Mato Grosso do Sul and 83.3 percent presented AIDS as an underlying disease. In almost all cases (96.7 percent) the disease occurred in its disseminated form and the most frequent clinical manifestations were fever (83.3 percent), weight loss (70.0 percent), cough (63.3 percent), hepatomegaly and splenomegaly (40.0 percent), and lymph node enlargement (36.7 percent). The laboratory diagnosis was obtained in 29 patients by isolation of Histoplasma capsulatum from various clinical specimens cultivated in Sabouraud dextrose and brain heart infusion agar and in 16 patients the fungus was observed by direct microscopy of Giemsa-stained smears. The observed mortality was 40 percent. This is the first report in the literature of the occurrence of histoplasmosis in Mato Grosso do Sul State.
RESUMO
Foram estudados 30 casos de histoplasmose observados no estado de Mato Grosso do Sul - HU-UFMS, no período de janeiro de 1998 a dezembro de 2005. Os pacientes eram, na maioria, homens (83,3 por cento) jovens (média de 33,4 anos de idade), naturais e procedentes de Mato Grosso do Sul (63,3 por cento) e tinham AIDS como principal doença subjacente (83,3 por cento). Houve predomínio da forma disseminada (96,7 por cento) e as manifestações clínicas mais freqüentes foram febre (83,3 por cento), emagrecimento (70,0 por cento) tosse (63,3 por cento), hepatoesplenomegalia (40,0 por cento) e linfonodomegalia (36,7 por cento). O diagnóstico laboratorial foi obtido por exame microscópio direto de esfregaços corados pela técnica de Giemsa, em 16 pacientes, e isolamento de H. capsulatum em cultivo nos meios de agar Sabouraud dextrose e agar infusão de cérebro e coração, de materiais diversos, em 29 pacientes. A letalidade observada foi de 40 por cento. O trabalho apresenta, pela primeira vez na literatura, a ocorrência de histoplasmose-doença no Estado de Mato Grosso do Sul.
Full text:
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Index:
LILACS (Americas)
Main subject:
AIDS-Related Opportunistic Infections
/
Histoplasma
/
Histoplasmosis
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Rev. Inst. Med. Trop. Säo Paulo
Journal subject:
Tropical Medicine
Year:
2007
Type:
Article
/
Project document
Affiliation country:
Brazil
Institution/Affiliation country:
Instituto de Pesquisa Evandro Chagas/BR
/
Universidade Federal de Mato Grosso do Sul/BR
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