[Current epidemiology and laboratory diagnosis of endemic mycoses in Spain]

María J Buitrago1, Manuel Cuenca-Estrella

  • 1Servicio de Micología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, España.

Insights

Histoplasmosis and paracoccidioidomycosis are emerging fungal infections in Spain, primarily linked to travel and immigration. Public health awareness and strict biosafety protocols are crucial for managing these rare but significant mycoses.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Epidemiology

Context:

  • Histoplasmosis and paracoccidioidomycosis are increasingly reported in Spain.
  • Cases are associated with international travel and immigration.
  • Other endemic mycoses show no significant increase.

Purpose:

  • To analyze the epidemiological trends of histoplasmosis and paracoccidioidomycosis in Spain.
  • To highlight the role of travel and immigration in the emergence of these fungal infections.
  • To emphasize biosafety measures for handling endemic fungi.

Summary:

  • 128 cases of histoplasmosis reported in Spain over 30 years, linked to travelers (59) and immigrants (63).
  • 21 cases of paracoccidioidomycosis reported since 1969, often chronic with long latency.
  • No increase noted for blastomycosis, coccidioidomycosis, lobomycosis, pythiosis, or sporotrichosis.

Impact:

  • Increased awareness of emerging fungal infections in Spain.
  • Highlights the importance of considering travel history and immigration status in diagnosis.
  • Reinforces the need for stringent biosafety in clinical microbiology laboratories.

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