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Published on: June 11, 2011
Epidemiological profile of cryptococcal meningitis patients in Rio Grande do Sul, Brazil
Ana Lusia Leal1, Josiane Faganello, Alexandre Meneghello Fuentefria
1Centro de Biotecnologia, Universidade Federal do Rio Grande do Sul, P.O. Box 15005, Porto Alegre, 91501-970, RS, Brazil.
Abstract:
Cryptococcosis is a major opportunistic mycosis which has meningitis as its most frequent clinical presentation and can be fatal in the absence of antifungal therapy. The aetiological agents are Cryptococcus neoformans, which affects mainly immunocompromised subjects, and C. gattii, the aetiologic agent for cryptococcosis in healthy individuals. A recent outbreak of cryptococcosis on Vancouver Island, Canada, raised the level of concern about the epidemiology of this disease. In Brazil, between 1980 and 2002, six per cent of AIDS patients had cryptococcosis in course at the time of diagnosis. To identify the profile of cryptococcal meningitis patients in Rio Grande do Sul (RS), Brazil, a retroactive study was realized using data from patients registered at Laboratório Central de Saúde Pública IPB-LACEN/RS from 2000 to 2005. Most of the patients were men (77.12%), Caucasian (83.5%), median age between thirty and thirty-nine years old (46.24%) and HIV positive (95%).
Insights
Cryptococcal meningitis, a severe fungal infection, predominantly affects HIV-positive men. This study profiles patients in Rio Grande do Sul, Brazil, highlighting key demographic and risk factors for this opportunistic mycosis.
Area of Science:
- * Mycology and Infectious Diseases
- * Epidemiology of Opportunistic Infections
Background:
- * Cryptococcosis is a life-threatening fungal infection, often presenting as meningitis.
- * Caused by Cryptococcus neoformans (immunocompromised) and Cryptococcus gattii (healthy individuals).
- * Recent outbreaks and prevalence in AIDS patients underscore its public health significance.
Purpose of the Study:
- * To determine the epidemiological profile of cryptococcal meningitis patients in Rio Grande do Sul (RS), Brazil.
- * To analyze demographic and clinical characteristics of affected individuals.
Main Methods:
- * Retrospective study design.
- * Utilized data from patients registered at Laboratório Central de Saúde Pública IPB-LACEN/RS.
- * Data collected between 2000 and 2005.
Main Results:
- * Predominantly affected men (77.12%).
- * Majority were Caucasian (83.5%) with a median age of 30-39 years (46.24%).
- * Overwhelmingly associated with HIV positivity (95%).
Conclusions:
- * Cryptococcal meningitis in RS, Brazil, primarily impacts HIV-positive Caucasian men.
- * Findings emphasize the need for targeted prevention and treatment strategies in vulnerable populations.
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