Tropical dermatology: Fungal tropical diseases

被引:131
作者
Lupi, O
Tyring, SK
McGinnis, MR
机构
[1] Univ Fed Rio de Janeiro, Dept Med Clin Dermatol, BR-21941 Rio De Janeiro, Brazil
[2] Univ Texas, Hlth Sci Ctr, Dept Dermatol, Houston, TX USA
[3] Univ Texas, Hlth Sci Ctr, Dept Internal Med, Houston, TX USA
[4] Univ Texas, Med Branch, Dept Pathol, Galveston, TX 77555 USA
[5] Univ Texas, Med Branch, Dept Dermatol, Galveston, TX 77555 USA
[6] Univ Texas, Med Branch, Dept Microbiol & Immunol, Galveston, TX 77555 USA
关键词
D O I
10.1016/j.jaad.2004.10.883
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Fungal infections are common in tropical countries and can have an important impact on public health. Lobomycosis is a common fungal infection in the tropical rain forest of South America, and paracoccidioidomycosis (South American blastomycosis) is a widespread and sometimes severe illness. Penicilliosis marneffei is an opportunistic infection of AIDS patients in southeast Asia. Chromoblastomycosis and mycetomas are causes of morbicity around the world. Sporotrichosis is a worldwide subcutaneous mycosis with a high incidence in tropical countries and is an important illness in immunocompromised patients. Rhinosporidiosis was classed as a fungal infection but is now considered a protistan parasite that belongs to the class Mesomycetozoea. It is included in this review because of its historical classification. In the past, most of these mycoses were restricted to specific geographic areas and natural reservoirs. There are, however situations in which people fron other regions come in contact with the pathogen. A common situation involves an accidental contamination of a traveler or worker who has contact with a tropical mycosis. Even minor trauma to the skin surface or inhalation of the fungal conidia can infect the patient. Thus recognition of the clinical symptoms and the dermatologic findings of the disease, as well as the discusses some of the more common tropical subcutaneous and systemic mycoses, as well as their signs, symptoms, methods of diagnosis, and therapies.
引用
收藏
页码:931 / 951
页数:21
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