Paracoccidioidomicosis asociada a otras patologías respiratorias en un hospital de Corrientes, Argentina / Association of paracoccidioidomycosis with different pulmonary pathologies in a hospital in Corrientes province, Argentina
Rev. argent. microbiol
; 39(3): 161-165, jul.-sep. 2007. tab
Article
in Spanish
| LILACS
| ID: lil-634553
Responsible library:
AR1.2
RESUMEN
Se realizó la búsqueda sistemática de paracoccidioidomicosis (PCM) en un conjunto de pacientes que fueron atendidos en un hospital de la ciudad de Corrientes dentro de un período de dos años. El criterio de inclusión fue pacientes con tuberculosis (TBC), pacientes con diagnóstico presuntivo o confirmado de cáncer de pulmón (CA), pacientes con enfermedad pulmonar obstructiva crónica (EPOC) y pacientes con imagen radiológica compatible con micosis pulmonar (IRXC). Se estudiaron 84 pacientes 57 con TBC, 1 con CA, 5 con EPOC, 3 con TBC+CA, 4 con TBC+EPOC, 4 con EPOC+CA y 10 con IRXC. A todos se les realizó serología por inmunodifusión en gel de agar (IDGA) y, en los casos en que se pudo obtener una muestra clínica, también se efectuaron estudios microbiológicos. Por IDGA se diagnosticaron 10 casos de PCM 4 asociados a TBC, 1 a TBC+CA, 3 a EPOC y 2 a IRXC; 9 de ellos se corroboraron por el hallazgo del hongo. La búsqueda sistemática de PCM en habitantes del área endémica que presentan patología pulmonar favorecería el diagnóstico precoz y, por lo tanto, las posibilidades de un tratamiento eficaz.
ABSTRACT
For 2 years, a systematic research of paracoccidioidomycosis (PCM) had been conducted in a hospital in the city of Corrientes. The inclusion criterium used was tuberculosis patients (TBC), presumptive or confirmed diagnosis of pulmonary cancer (CA), chronic obstructive pulmonary disease (COPD) and/or X-ray images compatible with pulmonary mycosis (XRC). Eighty four patients were studied 57 (TBC), 1 (CA), 5 (COPD), 3 (TBC+CA), 4 (TBC+COPD), 4 (COPD+CA) and 10 (XRC). Serology tests by agar gel immunodiffusion (IDGA) were performed on all patients, whereas microbiological studies were performed on those cases in which clinical samples could be obtained. Ten PCM were diagnosed by IDGA; 4 associated to TBC, 1 to TBC+CA, 3 to COPD and only 2 to XRC. PCM was mycologically proven in 9 of these cases. Systematic research of PCM would lead to an early diagnosis and therefore, to better chances for a successful treatment.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
/
SDG3 - Target 3.3 End transmission of communicable diseases
/
SDG3 -Target 3.5 Prevention and treatment of consumption of psychoactive substances
Health problem:
Target 3.3: End transmission of communicable diseases
/
Target 3.5: Prevention and treatment of consumption of psychoactive substances
/
Neglected Diseases
/
Tuberculosis
/
Paracoccidioidomycosis
/
Alcohol
Database:
LILACS
Main subject:
Paracoccidioidomycosis
/
Endemic Diseases
/
Lung Diseases
Type of study:
Etiology study
/
Risk factors
/
Screening study
Limits:
Adult
/
Aged
/
Humans
Country/Region as subject:
South America
/
Argentina
Language:
Spanish
Journal:
Rev. argent. microbiol
Journal subject:
Microbiology
Year:
2007
Document type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Universidad Nacional del Nordeste/AR