Neglected endemic mycoses

Flavio Queiroz-Telles1, Ahmed Hassan Fahal2, Diego R Falci3

  • 1Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil.

Insights

Fungal infections can enter through skin wounds, causing neglected tropical diseases like sporotrichosis. Early diagnosis and treatment are crucial for these chronic conditions, especially in low-income regions.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Fungal infections pose significant health risks, entering mammalian hosts through respiratory or cutaneous routes.
  • Traumatic inoculation can lead to neglected mycoses, including sporotrichosis, chromoblastomycosis, and mycetoma.
  • These chronic fungal diseases can cause severe disabilities and are often underdiagnosed.

Purpose of the Study:

  • To highlight the impact of fungal infections, particularly neglected mycoses, on global health.
  • To emphasize the diagnostic and therapeutic challenges associated with these diseases.
  • To raise awareness about the prevalence and consequences of fungal skin and systemic infections.

Main Methods:

  • Review of existing literature on fungal infections and neglected mycoses.
  • Analysis of disease presentation, including cutaneous and systemic manifestations.
  • Discussion of diagnostic hurdles and treatment limitations.

Main Results:

  • Fungal spores cause various syndromes, from subclinical to severe diseases like sporotrichosis and chromoblastomycosis.
  • Chronic fungal infections can lead to physical deformities and amputations, impacting quality of life.
  • Histoplasmosis and paracoccidioidomycosis mimic other conditions, posing diagnostic challenges and potential mortality.

Conclusions:

  • Cutaneous and systemic mycoses are neglected diseases affecting millions, particularly in low-income countries.
  • Suboptimum management due to diagnostic and therapeutic challenges requires urgent attention.
  • Increased recognition and improved interventions are vital for controlling these debilitating fungal infections.

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