Brazilian guidelines for the clinical management of paracoccidioidomycosis
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Data
2017-09-01
Autores
Shikanai-Yasuda, Maria Aparecida
Mendes, Rinaldo Poncio [UNESP]
Colombo, Arnaldo Lopes
Queiroz-Telles, Flavio de
Goncalves Kono, Adriana Satie
Paniago, Anamaria M. M.
Nathan, Andre
Francisconi do Valle, Antonio Carlos
Bagagli, Eduardo [UNESP]
Benard, Gil
Título da Revista
ISSN da Revista
Título de Volume
Editor
Soc Brasileira Medicina Tropical
Resumo
Paracoccidioidomycosis is a systemic fungal disease occurring in Latin America that is associated with rural environments and agricultural activities. However, the incidence and prevalence of paracoccidiodomycosis is underestimated because of the lack of compulsory notification. If paracoccidiodomycosis is not diagnosed and treated early and adequately, the endemic fungal infection could result in serious sequelae. While the Paracoccidioides brasiliensis (P. brasiliensis) complex has been known to be the causal agent of paracoccidiodomycosis, a new species, Paracoccidioides lutzii (P. lutzii), has been reported in Rondonia, where the disease has reached epidemic levels, and in the Central West and Para. Accurate diagnoses and availability of antigens that are reactive with the patients' sera remain significant challenges. Therefore, the present guidelines aims to update the first Brazilian consensus on paracoccidioidomycosis by providing evidence-based recommendations for bedside patient management. This consensus summarizes etiological, ecoepidemiological, molecular epidemiological, and immunopathological data, with emphasis on clinical, microbiological, and serological diagnosis and management of clinical forms and sequelae, as well as in patients with comorbidities and immunosuppression. The consensus also includes discussion of outpatient treatments, severe disease forms, disease prevalence among special populations and resource-poor settings, a brief review of prevention and control measures, current challenges and recommendations.
Descrição
Palavras-chave
Paracoccidioidomycosis, Guidelines, Clinical management, Diagnosis, Treatment follow-up
Como citar
Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 5, p. 715-740, 2017.