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Coccidioidomycosis: first cases reported in Pernambuco, Brazil
Paulo Sergio Ramos de Araújo1,2,3, Valter Romão de Souza Junior2, Carlos Eduardo Padilha1
1Universidade Federal de Pernambuco, Hospital das Clínicas, Serviço de Infectologia, Recife, Pernambuco, Brazil.
Revista Do Instituto De Medicina Tropical De Sao Paulo
|November 22, 2018
Summary
Coccidioidomycosis, a fungal infection, was diagnosed in three farmers in Brazil. Successful treatment with fluconazole highlights the importance of recognizing this disease in new regions.
Area of Science:
- Mycology
- Infectious Diseases
- Epidemiology
Background:
- Coccidioidomycosis is a fungal infection caused by Coccidioides species, prevalent in arid desert regions.
- The first cases in Brazil were reported in 1978, primarily in Northeastern desert areas.
- Inhalation of Coccidioides arthroconidia from soil leads to pulmonary infections like pneumonia.
Observation:
- Three male farmers in Serra Talhada, Pernambuco State, Brazil, presented with pneumonia.
- These farmers were diagnosed with pulmonary coccidioidomycosis.
- They reported hunting armadillos in a rural, arid region of Pernambuco.
Findings:
- This report details the first documented cases of Coccidioides infection in Pernambuco State.
- The farmers were successfully treated with oral fluconazole.
- Armadillos were identified as potential carriers of Coccidioides in this region.
Implications:
- This finding expands the known geographic distribution of Coccidioides in Brazil.
- It underscores the need for increased awareness and diagnostic consideration of coccidioidomycosis in Pernambuco.
- Highlights the role of wildlife, such as armadillos, in the transmission cycle of Coccidioides.
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