Conidiobolomicose em ovinos no Estado do Acre, Brasil / Conidiobolomycosis in sheep in the state of Acre, Brazil

A criação de ovinos tem expandido no mercado de carne e subprodutos no Brasil. A conidiobolomicose é uma zigomicose considerada uma doença emergente, que acomete humanos e animais. Por ser uma doença com letalidade alta e pela gravidade das lesões, ela causa perdas econômicas relevantes na ovinocultura. Este trabalho tem como objetivo descrever os aspectos epidemiológicos, clínicos, histopatológicos e microbiológicos da conidiobolomicose em um rebanho de ovinos no município de Porto Acre (AC). Descreve-se um surto de conidiobolomicose que ocorreu entre os meses de abril e julho de 2014. A propriedade possuía 60 ovinos da raça Santa Inês e cinco desses animais adoeceram. Clinicamente os animais doentes apresentavam dificuldade respiratória, corrimento nasal seroso a mucossanguinolento e, por vezes exoftalmia. Foram retirados fragmentos da lesão circunscrita do pulmão esquerdo dos ovinos necropsiados os quais foram submetidos à análise microbiológica e histopatológica. O fungo isolado apresentou caracterização macro e micromorfológica identificados como Conidiobolus lamprauges. Pelos sinais clínicos, achados epidemiológicos, análise histopatológica e, principalmente, pelo isolamento do agente, a enfermidade dos ovinos neste estudo foi identificada como conidiobolomicose causada por Conidiobolus lamprauges.(AU)

Sheep farming has expanded in the meat and by-products market in Brazil. Conidiobolomycosis is a zygomycosis considered an emerging disease, which affects humans and animals. Because it is a disease with high lethality and the severity of injuries, it causes significant economic losses in sheep farming. This work aims to describe the epidemiological, clinical, histopathological and microbiological aspects of conidiobolomycosis in a flock of sheep in Porto Acre city (Acre state of North Brazil). An outbreak of conidiobolomycosis occurred between April and July 2014. The property had 60 Santa Inês sheep and five of these animals became ill. Clinically, the sick animals had breathing difficulties, a serous to mucous-bloody runny nose and, at times, exophthalmos. Fragments of the circumscribed lesion of the left lung were removed from the necropsied sheep and submitted to microbiological and histopathological analysis. The isolated fungus showed macro and micromorphological characterization identified as Conidiobolus lamprauges. Due to clinical signs, epidemiological findings, histopathological analysis and, mainly, the isolation of the agent, the disease of the sheep in this study was identified as conidiobolomycosis caused by Conidiobolus lamprauges.(AU)

Zigomicosis y síndrome hemofagocítico en un paciente inmunocompetente: informe de caso / Zygomycosis and hemophagocytic lymphohistiocytosis in an immunocompetent patient: a case report

Introducción: la zigomicosis es una infección fúngica poco frecuente, con alta tasa de mortalidad y de mal pronóstico. Afecta principalmente a pacientes inmunocomprometidos. La asociación con el síndrome hemofagocítico es extremadamente inusual, más aún en pacientes inmunocompetentes, con pocos ejemplos registrados en la literatura. Caso clínico: se presenta el caso de un paciente masculino inmunocompetente de 40 años con diagnóstico de mucormicosis y síndrome hemofagocítico que evoluciona desfavorablemente, con fallo multiorgánico, a pesar de los esfuerzos médicos. Conclusión: la asociación de mucormicosis con síndrome hemofagocítico en un paciente inmunocompetente es extremadamente rara; existen pocos casos informados en Latinoamérica. Debemos tener presente esta asociación, ya que requiere un tratamiento agresivo y soporte vital avanzado. (AU)

Introduction: zygomycosis is a rare fungal infection that carries with high mortality rates. This poor prognosis, rapidly progressive infection mainly affects immunocompromised patients. The association with hemophagocytic lymphohistiocytosis is extremely unusual, even more in immunocompetent patients, with few cases reported. Case: we present the case of an immunocompetent male patient who was diagnosed with zygomycosis and hemophagocytic lymphohistiocytosis. Despite medical efforts he developed multiorganic failure. Conclusion: the association of mucormycosis with hemophagocytic lymphohistiocytosis in an immunocompetent patient is exceptional with few cases reported in Latin America. We must always suspect this association considering they require aggressive treatment and advanced life support. (AU)

Epidemiological, clinical and diagnostic aspects of sheep conidiobolomycosis in Brazil / Aspectos epidemiológicos, clínicos e de diagnóstico da conidiobolomicose ovina no Brasil

Conidiobolomycosis is an emerging disease caused by fungi of the cosmopolitan genus Conidiobolus . Particular strains of Conidiobolus coronatus, Conidiobolus incongruus and Conidiobolus lamprauges , mainly from tropical or sub-tropical origin, cause the mycosis in humans and animals, domestic or wild. Lesions are usually granulomatous and necrotic in character, presenting two clinical forms: rhinofacial and nasopharyngeal. This review includes the main features of the disease in sheep, with an emphasis on the epidemiology, clinical aspects, and diagnosis of infections caused by Conidiobolus spp. in Brazil. In this country, the disease is endemic in the Northeast and Midwest, affecting predominantly woolless sheep breeds and occasioning death in the majority of the studied cases. The species responsible for infections of sheep are C. coronatus and C. lamprauges and the predominant clinical presentation is nasopharyngeal. These fungal infections are very important, since they compromise the health status of the sheep flock and cause serious economic losses to the sheep industry. Thus, research is needed to investigate faster tools for diagnosis and effective methods for the control and treatment of conidiobolomycosis.(AU)

Conidiobolomicose é uma enfermidade emergente causada por fungos cosmopolitas do gênero Conidiobolus . Isolados de Conidiobolus coronatus, Conidiobolus incongruus e Conidiobolus lamprauges, principalmente de origem tropical e subtropical, afetam humanos, animais domésticos e silvestres. As lesões da conidiobolomicose normalmente são de caráter granulomatoso e necrótico, apresentando-se sob duas formas clínicas: rinofacial e nasofaríngea. O presente artigo tem como objetivo revisar as principais características da doença em ovinos, particularizando a epidemiologia, assim como os aspectos clínicos e o diagnóstico das infecções causadas por Conidiobolus spp. no Brasil. Neste País, a enfermidade é endêmica nas regiões nordeste e centro-oeste, afetando ovinos predominantemente de raças deslanadas, ocasionando a morte na grande maioria dos casos estudados. As espécies do fungo responsáveis pelas infecções em ovinos são C. coronatus e C. lamprauges e a forma clínica predominante é a nasofaríngea. Tais infecções fúngicas são muito importantes, uma vez que comprometem o status sanitário do rebanho ovino e acarretam sérios prejuízos econômicos à ovinocultura. Dessa forma, pesquisas são necessárias para investigar ferramentas rápidas de diagnóstico e métodos eficazes de controle e tratamento da conidiobolomicose.(AU)

Aspectos epidemiológicos da conidiobolomicose em ovinos na região semiárida do Nordeste do Brasil / Epidemiological aspects of conidiobolomycosis in sheep in the Northeastern Brazilian semiarid region

Com o objetivo de determinar aspectos epidemiológicos da conidiobolomicose dos ovinos, foi realizado um estudo caso-controle em 27 propriedades (16 com casos e 11 controles) nos estados da Paraíba e do Rio Grande do Norte. Das 16 propriedades com casos, em nove (56,3%), ocorreu apenas um foco e em sete (43,8%) aconteceram dois, totalizando 23 focos no período do estudo. Em 20 focos, foi diagnosticada somente conidiobolomicose e, em três, além de casos de conidiobolomicose, ocorreram casos de pitiose rinofacial. Nos focos de conidiobolomicose, a morbidade variou de 0,7% a 73,3% e a letalidade foi de 100%. Treze focos (56,5%) aconteceram no período chuvoso (janeiro a maio), seis (26,1%) ocorreram no período seco (junho a dezembro) e, em quatro, não foi determinada a época de ocorrência. Em todas as propriedades com casos, os animais tinham acesso a açudes, durante todo o ano ou por períodos de 2-8 meses. Na análise univariada dos fatores de risco referentes aos focos de conidiobolomicose, as variáveis associadas foram: pastejo dos animais às margens dos açudes; período de pastejo às margens dos açudes; presença de matéria vegetal constituída por plantas aquáticas; pressão de pastejo; e raça, afetando predominantemente a raça Santa Inês. Conclui-se que a associação de fatores como pastejo constante em áreas úmidas com matéria vegetal decomposta e solo rico em matéria orgânica expõe os animais à infecção por Conidiobolus spp. e predispõe à ocorrência de focos. A implantação de pastagens para corte, nas margens dos açudes, pode ser uma medida eficaz de controle da conidiobolomicose.(AU)

With the objective to determine the epidemiological aspects of conidiobolomycosis and rhinofacial pythiosis in sheep, a case-control study was conducted in 27 farms (16 cases and 11 controls) in the states of Paraíba and Rio Grande do Norte. In nine (56.3%) farms only one outbreak was observed and in seven, two outbreaks occurred, totaling 23 outbreaks. In 20 farms only cases of conidiobolomycosis occurred and in three farms cases of conidiobolomicosis occurred together with cases of pythiosis. In conidiobolomycosis, morbidity ranged from 0.7% to 73.3% and lethality rate was 100%. Thirteen outbreaks (56.3%) occurred in the rainy season (January to May), six (26.1%) in the dry season (June to December) and in four it was not informed. In all farms with cases, sheep had access to ponds for the whole year or for periods of 2-8 months. In the univariate analysis of risk, the variables associated with the occurrence of conidiobolomycosis were: animal grazing on the borders of the ponds; presence of vegetable matter consisting mainly of aquatic plants in the pond borders; period of grazing on the pond borders; high grazing pressure; and predominant breed of sheep, being the Santa Inês breed the most affected. It was concluded that the combination of factors such as continuous grazing in wetlands with decomposed vegetable matter and soil rich in organic matter exposes the animals to Conidiobolus spp. and predisposes to the occurrence of conidiobolomycosis. The establishment of pastures for cutting at the borders of the ponds can be an effective measure to control conidiobolomycosis.(AU)

A PCR-based method to identify Entomophaga spp. infections in North American grasshoppers.

A PCR-based method was developed for the detection and identification of two species of grasshopper-specific pathogens belonging to the genus Entomophaga in North America, Entomophaga calopteni and Entomophaga macleodii. Two separate sets of primers specific for amplification of a DNA product from each species of Entomophaga as well as a positive control were utilized. Grasshoppers were collected from two sites in Mexico during an epizootic with grasshoppers found in "summit disease", typical of Entomophaga infections. There was a preponderance of Melanopline grasshoppers infected by E. calopteni. The described method is an accurate tool for identification of North American grasshopper infections by Entomophaga species.

Conidiobolomicose causada por Conidiobolus lamprauges em ovinos no Estado de Santa Catarina / Conidiobolomycosis caused by Conidiobolus lamprauges in sheep in the state of Santa Catarina, Brazil

Descreve-se um surto de conidiobolomicose em ovinos no Estado de Santa Catarina. O surto ocorreu entre os meses de dezembro e março de 2006, no município de Santo Amaro da Imperatriz, região litorânea do Estado. A propriedade possuía 75 ovinos da raça Santa Inês e seis desses animais adoeceram. Clinicamente os animais doentes apresentavam dificuldade respiratória, corrimento nasal seroso a mucossanguinolento e, por vezes exolftalmia. Na necropsia verificou-se uma massa amarelada na região etmoidal e adjacências que, às vezes, atingia os linfonodos regionais, cérebro, globo ocular e pleura. Microscopicamente a massa caracterizava-se por infiltrado inflamatório granulomatoso com áreas necróticas associadas a hifas largas pouco ramificadas. Através de exame molecular detectou-se DNA de Conidiobolus lamprauges. Os aspectos clínicos, epidemiológicos, macroscópicos, microscópicos e moleculares caracterizam a conidiobolomicose causada por Conidiobolus lamprauges em ovinos.(AU)

An outbreak of conidiobolomycosis affecting sheep in the State of Santa Catarina, Southern Brazil is reported. The disease occurred in six Santa Inês breed sheep from a flock of 75 during the rainy season. Common clinical signs were noisy respiration and dyspnea, serous to mucosanguineous nasal discharge and exophthalmus. At necropsy there was a dense yellow mass in the nasopharyngeal area affecting the ethmoidal region, turbinate bones and occasionally limph nodes, central nervous system and pleura. Histopathologycally there was multifocal granulomas whith an eosinophilic necrotic reaction containing ribbon type hyphae similar to zygomycetous fungi. At molecular examination Conidiobolus lamprauges DNA was detected. The clinical, epidemiological, macroscopical, microscopical and molecular aspects characterize conidiobolomycosis caused by Conidiobolus lamprauges in sheep.(AU)

Conidiobolomicose causada por conidiobolus lamprauges em ovinos no estado de Santa Catarina / Conidiobolomycosis caused by conidiobolus lamprauges in sheep in the state of Santa Catarina, Brazil

Descreve-se um surto de conidiobolomicose em ovinos no Estado de Santa Catarina. O surto ocorreu entre os meses de dezembro e março de 2006, no município de Santo Amaro da Imperatriz, região litorânea do Estado. A propriedade possuía 75 ovinos da raça Santa Inês e seis desses animais adoeceram. Clinicamente os animais doentes apresentavam dificuldade respiratória, corrimento nasal seroso a mucossanguinolento e, por vezes exolftalmia. Na necropsia verificou-se uma massa amarelada na região etmoidal e adjacências que, às vezes, atingia os linfonodos regionais, cérebro, globo ocular e pleura. Microscopicamente a massa caracterizava-se por infiltrado inflamatório granulomatoso com áreas necróticas associadas a hifas largas pouco ramificadas. Através de exame molecular detectou-se DNA de Conidiobolus lamprauges. Os aspectos clínicos, epidemiológicos, macroscópicos, microscópicos e moleculares caracterizam a conidiobolomicose causada por Conidiobolus lamprauges em ovinos.

An outbreak of conidiobolomycosis affecting sheep in the State of Santa Catarina, Southern Brazil is reported. The disease occurred in six Santa Inês breed sheep from a flock of 75 during the rainy season. Common clinical signs were noisy respiration and dyspnea, serous to mucosanguineous nasal discharge and exophthalmus. At necropsy there was a dense yellow mass in the nasopharyngeal area affecting the ethmoidal region, turbinate bones and occasionally limph nodes, central nervous system and pleura. Histopathologycally there was multifocal granulomas whith an eosinophilic necrotic reaction containing ribbon type hyphae similar to zygomycetous fungi. At molecular examination Conidiobolus lamprauges DNA was detected. The clinical, epidemiological, macroscopical, microscopical and molecular aspects characterize conidiobolomycosis caused by Conidiobolus lamprauges in sheep.

Molecular characterization of ovine zygomycosis in central western Brazil.

Zygomycosis is an important granulomatous disease that affects humans and animals, particularly sheep in tropical regions. Rhinofacial and nasopharyngeal zygomycosis were described in sheep in association with Conidiobolus spp. The present study characterized 5 samples of Conidiobolus isolated from 3 herds with clinical disease in Mato Grosso State, Brazil. The clinical and pathological findings were similar to nasopharyngeal zygomycosis. Based on morphological features, isolates were classified as Conidiobolus spp., and molecular phylogenetic analyses based on 18S ribosomal DNA grouped all isolates in a Conidiobolus lamprauges cluster. The current report describes the molecular characterization of ovine nasopharyngeal zygomycosis associated with C. lamprauges.

Rare mycoses of the oral cavity: a literature epidemiologic review.

Stomatologic fungal infections display different etiologies, pathogenesis, and clinical presentations. The incidence of rare mycoses of oral cavity is very low. These infections can involve both immunocompromised and immmunocompetent patients with common predisposing factors, such as diabetes or suffering from diseases causing immune system impairment. Oral mycoses can cause acute, chronic, and mucocutaneous lesions. Candidiasis is the most common mouth mycosis. Although occasionally primary mouth pathogens, Cryptococcus spp. or filamentous fungi (Aspergillus spp. and zygomycetes) can cause oral mycoses, with the oral localization more commonly secondary to a more serious systemic infection. The diagnosis of oral mycoses is based on clinical examination; for yeasts, culture is necessary to identify the etiologic agents; for filamentous fungi, in particular for zygomycetes and dimorphic, a definitive diagnosis can be made by histologic examination and pertinent stains with or without isolation of the fungus from the same site.

Conidiobolomicose em ovinos no Estado de Mato Grosso / Conidiobolomycosis in sheep in the state of Mato Grosso, Brazil

Relatam-se os achados epidemiológicos, clínicos, patológicos e micológicos de conidiobolomicose em ovinos no Estado de Mato Grosso. A doença ocorreu em uma propriedade no município de Nobres, em um rebanho com 40 ovelhas adultas, entre os meses de janeiro a junho de 2007. Aproximadamente 30 por cento dos ovinos da propriedade adoeceram e todos os doentes morreram em curso clínico de 2-5 semanas. O quadro clínico foi caracterizado por apatia, emagrecimento, dificuldade respiratória com dispnéia, respiração ruidosa e oral, secreção nasal mucosa ou sero-sanguinolenta, exoftalmia unilateral, por vezes com cegueira, e morte. Havia desaparecimento de etmoturbinados com substituição por tecido bran-cacento, finamente granular, multilobulado e friável infil-trando-se na lâmina cribiforme, no septo nasal e nas coa-nas em todos os ovinos necropsiados. Lesões similares foram encontradas em linfonodos regionais (2 casos), pulmões (3), encéfalo (2) e em linfonodos do abomaso (1). Microscopicamente havia inflamação granulomatosa da região rinocerebral, caracterizada por necrose, proliferação de tecido conjuntivo, infiltrado de neutrófilos, eosinófilos, células epitelióides e células gigantes multinucleadas freqüentemente circundando material Splendori-Hoeppli, onde havia imagens negativas de hifas. Na impregnação pela Prata-Metenamina, as hifas tinham septos e ramificações escassas e irregulares, com dilatação balonosa terminal e com forte demarcação de contornos. Iso-lou-se de tecido nasal de quatro ovinos Conidiobolus sp.

The epidemiological, clinical, pathological and mycological findings of an outbreak of conidiobolomycosis in a flock of 40 Santa Ines sheep, in the state of Mato Grosso, Brazil, are reported. The illness occurred in the municipality of Nobres during January-June, 2007, resulting in death of about 30 percent of the affected sheep within 2-5 weeks. The clinical signs were characterized by apathy, weight loss, labored and noisy breathing with dyspnea, and mucous or serohemorrhagic nasal discharge. In three sheep there was unilateral exophthalmia, keratitis and corneal ulceration. A firm whitish, multi-lobulated, friable growth was evident in the ethmoturbinate region at the coronal sections of the head from six affected sheep. In all sheep the choana had similar nodular infiltration which resulted in local obstruction. In three of those there was exophthalmia. There was infiltration in the cribiform plate and brain (2 cases), regional lymph nodes (2), lungs (3), and abomasums (1). Microscopic findings were granulomatous inflammation of the rhinoetimoidal region, with necrosis, lymphocytic infiltration, epithelioid multinucleated giant cells and fibrovascular tissue, surrounding Splendore-Hoeppli material wich contained unstained ghost images of hyphae. The methenamine-silver stain uncover fungi hyphae, rarely ramified with bulbous dilatation in their extremities. Conidiobolus sp. was isolated from nasal tissue lesions of four sheep.

Conidiobolomicose em ovinos no Estado de Mato Grosso / Conidiobolomycosis in sheep in the state of Mato Grosso, Brazil

Relatam-se os achados epidemiológicos, clínicos, patológicos e micológicos de conidiobolomicose em ovinos no Estado de Mato Grosso. A doença ocorreu em uma propriedade no município de Nobres, em um rebanho com 40 ovelhas adultas, entre os meses de janeiro a junho de 2007. Aproximadamente 30 por cento dos ovinos da propriedade adoeceram e todos os doentes morreram em curso clínico de 2-5 semanas. O quadro clínico foi caracterizado por apatia, emagrecimento, dificuldade respiratória com dispnéia, respiração ruidosa e oral, secreção nasal mucosa ou sero-sanguinolenta, exoftalmia unilateral, por vezes com cegueira, e morte. Havia desaparecimento de etmoturbinados com substituição por tecido bran-cacento, finamente granular, multilobulado e friável infil-trando-se na lâmina cribiforme, no septo nasal e nas coa-nas em todos os ovinos necropsiados. Lesões similares foram encontradas em linfonodos regionais (2 casos), pulmões (3), encéfalo (2) e em linfonodos do abomaso (1). Microscopicamente havia inflamação granulomatosa da região rinocerebral, caracterizada por necrose, proliferação de tecido conjuntivo, infiltrado de neutrófilos, eosinófilos, células epitelióides e células gigantes multinucleadas freqüentemente circundando material Splendori-Hoeppli, onde havia imagens negativas de hifas. Na impregnação pela Prata-Metenamina, as hifas tinham septos e ramificações escassas e irregulares, com dilatação balonosa terminal e com forte demarcação de contornos. Iso-lou-se de tecido nasal de quatro ovinos Conidiobolus sp.(AU)

The epidemiological, clinical, pathological and mycological findings of an outbreak of conidiobolomycosis in a flock of 40 Santa Ines sheep, in the state of Mato Grosso, Brazil, are reported. The illness occurred in the municipality of Nobres during January-June, 2007, resulting in death of about 30 percent of the affected sheep within 2-5 weeks. The clinical signs were characterized by apathy, weight loss, labored and noisy breathing with dyspnea, and mucous or serohemorrhagic nasal discharge. In three sheep there was unilateral exophthalmia, keratitis and corneal ulceration. A firm whitish, multi-lobulated, friable growth was evident in the ethmoturbinate region at the coronal sections of the head from six affected sheep. In all sheep the choana had similar nodular infiltration which resulted in local obstruction. In three of those there was exophthalmia. There was infiltration in the cribiform plate and brain (2 cases), regional lymph nodes (2), lungs (3), and abomasums (1). Microscopic findings were granulomatous inflammation of the rhinoetimoidal region, with necrosis, lymphocytic infiltration, epithelioid multinucleated giant cells and fibrovascular tissue, surrounding Splendore-Hoeppli material wich contained unstained ghost images of hyphae. The methenamine-silver stain uncover fungi hyphae, rarely ramified with bulbous dilatation in their extremities. Conidiobolus sp. was isolated from nasal tissue lesions of four sheep.(AU)

Conidiobolomycosis in sheep in Brazil.

Conidiobolomycosis is reported in the state of Piauí, in the semiarid region of northeastern Brazil. Affected sheep had depression, weight loss, serous or mucohemorrhagic nasal discharge, and cranium-facial asymmetry from exophthalmos of 1 eye, generally with increased volume of the eyeball, keratitis, and corneal ulceration. At necropsy of 60 sheep, friable masses were observed in the posterior region of the nasal cavity, often destroying the ethmoturbinate bones. Frequently, the lesions invaded the nasal sinuses, cribiform plate, orbit, and brain. The masses were irregular, granular with moist surfaces, and soft and friable with white, yellow, or tan coloration. Dissemination of the lesion to lungs was observed in 27 sheep, to the brain in 26, to lymph nodes in 3, to the kidney in 2, and to the gallbladder and heart in 1. The microscopic examination showed granulomatous inflammation composed of central necrosis surrounded by lymphocytes, epithelioid and giant cells, and fibrous tissue. In all lesions, negatively stained structures representing hyphae were surrounded by Splendore-Hoeppli material. Coagulative necrosis, thrombosis, and vasculitis were also observed. Grocott methenamine silver stain showed 8-30-microm-thick hyphae, rarely septate or ramified, irregular in shape, and with black contoured wall, sometimes with bulbous dilatation in the extremities. On electron microscopy, the hyphae had a thick double wall surrounded by cellular remnants and an inflammatory exudate. Conidiobolus coronatus was isolated from the lesions of 6 sheep. Conidiobolomycosis is an important disease of sheep in the state of Piauí, and other regions of northeastern Brazil.

Epidemiologia e sinais clínicos da conidiobolomicose em ovinos no Estado do Piauí / Epidemiology and symptoms of conidiobolomycosis in sheep in the State of Piauí, Brazil

Foi realizado um estudo de ocorrência da conidiobolomicose ovina em 25 rebanhos no Estado do Piauí, de janeiro de 2002 a dezembro de 2004. A enfermidade acometeu apenas ovinos e ocorreu principalmente em abril-julho. A incidência média anual foi de 2,80 por cento e a incidência semestral foi significativamente mais alta (P <0,05) no primeiro semestre (2,10 por cento), durante a época chuvosa, do que no segundo semestre (0,69 por cento), durante a seca. A incidência entre rebanhos variou de 0,1-14,3 por cento e a letalidade foi de 100 por cento. Ao exame clínico, os animais apresentavam apatia, emagrecimento progressivo, secreção nasal serosa, mucosa e/ou hemorrágica, dificuldade respiratória, respiração ruidosa, febre e na maioria dos casos assimetria crânio-facial e exoftalmia. Alguns ovinos permaneciam com a cabeça baixa ou a pressionavam contra objetos. O curso clínico foi de 1-5 semanas. As lesões macroscópicas, microscópicas e ultrastructurais e a identificação do agente são descritas separadamente. Este é o primeiro registro de conidiobolomicose em ovinos no Brasil, enfermidade endêmica no Estado do Piauí, associada à alta pluviosidade (1000-1600mm anuais) e alta temperatura (19-36ºC).

Conidiobolomycosis is reported in 25 farms, from January 2002 to December 2004, in the state of Piauí. The disease affects only sheep, mainly in April-June. The mean morbidity rate was 2.80 percent, but was higher in the first semester (2.1 percent), during the raining period, than in the second one (0.69 percent), during the dry period. Morbidity rate among flocks varied from 0.1-14.3 percent. Case fatality rate was 100 percent, and the clinical manifestation period varied from 1-5 weeks. Clinical signs were serous, mucous and/or bloody nasal secretion, respiratory distress, snoring respiration, cranium-facial asymmetry, exophthalmia, fever and progressive emaciation. Marked depression, sometimes with the head down or head pressing was observed in some cases. Gross, microscopic and ultrastructural lesions and identification of the agent are reported elsewhere. This is the first report of conidiobolomycosis in Brazil, which is endemic and has a high frequency in sheep in the State of Piauí, associated with high rainfalls (1000-1600mm annually) and high temperature (19-36ºC).

Epidemiologia e sinais clínicos da conidiobolomicose em ovinos no Estado do Piauí / Epidemiology and symptoms of conidiobolomycosis in sheep in the State of Piauí, Brazil

Foi realizado um estudo de ocorrência da conidiobolomicose ovina em 25 rebanhos no Estado do Piauí, de janeiro de 2002 a dezembro de 2004. A enfermidade acometeu apenas ovinos e ocorreu principalmente em abril-julho. A incidência média anual foi de 2,80 por cento e a incidência semestral foi significativamente mais alta (P <0,05) no primeiro semestre (2,10 por cento), durante a época chuvosa, do que no segundo semestre (0,69 por cento), durante a seca. A incidência entre rebanhos variou de 0,1-14,3 por cento e a letalidade foi de 100 por cento. Ao exame clínico, os animais apresentavam apatia, emagrecimento progressivo, secreção nasal serosa, mucosa e/ou hemorrágica, dificuldade respiratória, respiração ruidosa, febre e na maioria dos casos assimetria crânio-facial e exoftalmia. Alguns ovinos permaneciam com a cabeça baixa ou a pressionavam contra objetos. O curso clínico foi de 1-5 semanas. As lesões macroscópicas, microscópicas e ultrastructurais e a identificação do agente são descritas separadamente. Este é o primeiro registro de conidiobolomicose em ovinos no Brasil, enfermidade endêmica no Estado do Piauí, associada à alta pluviosidade (1000-1600mm anuais) e alta temperatura (19-36ºC).(AU)

Conidiobolomycosis is reported in 25 farms, from January 2002 to December 2004, in the state of Piauí. The disease affects only sheep, mainly in April-June. The mean morbidity rate was 2.80 percent, but was higher in the first semester (2.1 percent), during the raining period, than in the second one (0.69 percent), during the dry period. Morbidity rate among flocks varied from 0.1-14.3 percent. Case fatality rate was 100 percent, and the clinical manifestation period varied from 1-5 weeks. Clinical signs were serous, mucous and/or bloody nasal secretion, respiratory distress, snoring respiration, cranium-facial asymmetry, exophthalmia, fever and progressive emaciation. Marked depression, sometimes with the head down or head pressing was observed in some cases. Gross, microscopic and ultrastructural lesions and identification of the agent are reported elsewhere. This is the first report of conidiobolomycosis in Brazil, which is endemic and has a high frequency in sheep in the State of Piauí, associated with high rainfalls (1000-1600mm annually) and high temperature (19-36ºC).(AU)

Experiencia en mucormicosis Hospital Clinico Universidad de Chile / Experience in mucormycosis Hospital Clínico Universidad de Chile

Revisamos los hallazgos clínicos, patológicos y tratamiento en 12 pacientes con mucormicosis en el Hospital Clínico de la Universidad de Chile entre los años 1990 y 2004. Del total de pacientes estudiados, 7 eran hombres y 5 mujeres. La edad promedio fue de 54 años, con un rango de 29 a 79 años. El diagnóstico de mucormicosisse realizó por biopsia en 10 pacientes y por estudio directo en 2 pacientes. Los factores predisponentes presentes en los pacientes estudiados fueron, diabetes mellitus, HIV en etapa SIDA y enfermedades hematológicas en tratamiento oncológico. La histología demostró necrosis e infarto con invasión de vasos sanguíneos y trombosis micótica. Todos los pacientes estudiados recibieron tratamiento con Anfotericina B y 6 fueron intervenidos quirúrgicamente. Del total de 12 pacientes, 4 fallecieron (33 por ciento) y 8 permanecen vivos (66 por ciento).

We made a review of the clinical and pathological findings and the treatment in 12 patients presenting mucormycosis in the Clinical Hospital of the University of Chile between 1990 and 2004. Of the whole studied patients, 7 were men and 5 women. The average age was 54 years, with a range from 29 to 79 years. The diagnosis of mucormycosis was performed by biopsy in 10 patients andby direct study in 2 patients. The predisposing factors in the studied patients were: Diabetes Mellitus, HIV at AIDS stage and hematological diseases in oncologic treatment. The histology demonstrated necrosis and infarction with blood vessels invasion and mycotic thrombosis. All the studied patientsreceived treatment with Anphotericine B and 6 required surgical intervention. Of the total of 12 patients, 4 died (33 percent) and 8 remain alive (66 percent).