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Published on: August 11, 2008
[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.
Abstract:
Histoplasmosis and paracoccidioidomycosis are emerging infections in Spain associated with immigration and travelling. In last three decades a total of 128 cases of histoplasmosis have been reported in Spain, 59 in travellers, 63 in immigrants, three associated to drug abuse, two in laboratory workers, and one in a solid organ transplant receptor. In 1969 the first Spanish case of paracoccidioidomycosis was published and a total of 21 cases have been reported so far. Those patients suffered from the chronic form of the disease with period of latency as long as 50 years. Other endemic mycoses such as blastomycosis, coccidioidomycosis, lobomycosis, pythiosis and sporotrichosis have not increased in frequency. Microbiological cultures of endemic fungi must be handled in facilities which comply with international biosafety regulations and must also be taken into account for cultures from patients with suspected endemic mycosis.
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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