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[Invasive mycosis, immunocompromise and fever of unknown origin]
Luis Javier Méndez-Tovar1, Patricia Manzano-Gayosso, Christian Cumplido-Uribe
1Laboratorio de Investigación Médica en Dermatología y Micología, Hospital de Especialidades, México. ljmt@servidor.unam.mx
Background:
fungal invasive infections are frequent in patients with immunosuppression. A common clinical feature is the presence of fever of unknown origin (FUO) in any of its several presentations. The aim of this study was to know the frequency of FUO associated to invasive mycosis in hospitalized patients.
Methods:
samples from 34 patients were studied by immunological and microbiological procedures in order to investigate candidiasis, cryptococcosis, aspergillosis and Pneumocystis infection.
Results:
fungal infection diagnosis was established in 12 (35 %) from 34 patients who full criterion. The fungal species isolated were Candida albicans (six), Aspergillus fumigates (four) and Cryptococcus sp. (two). All candidiasis cases were diagnosed only by microbiological studies, aspergillosis by immunological and microbiological studies, and cryptococcosis only by immunological studies.
Conclusions:
we concluded that is important the searching of mycosis in immunocompromised patients with fever of unknown origin by microbiological and immunological procedures.
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