Epidemiological survey of histoplasmine and paracoccidioidine skin reactivity in an agricultural area in Bolívar state, Venezuela

被引:13
作者
Cermeño J.R. [1 ,6 ,7 ]
Hernández I. [1 ]
Cermeño J.J. [2 ]
Godoy G. [1 ]
Cermeño J.J. [2 ]
Orellán Y. [1 ]
Blanco Y. [1 ]
Cabello I. [2 ]
Guzmán Y. [1 ]
Alcalá F. [1 ]
García T. [4 ]
Penna S. [5 ]
机构
[1] Departamento de Medicina, Complejo Hosp. Univ. Ruiz y Paez, Universidad de Oriente, Nucleo Bolivar, Ciudad Bolivar
[2] Inst. Salud Pub. del Estado Bolivar
[3] Complejo Hosp. Univ. Ruiz y Paez, Estado Bolívar
[4] Depto. de Ciencias Fisiologicas, Esc. Med. Dr. F. Batisttini Casalta, Universidad de Oriente, Nucleo Bolivar, Ciudad Bolivar
[5] Centro Comercial Country, Ciudad Bolivar, Estado Bolivar
[6] Ciudad Bolívar 8001
关键词
Epidemiological survey; Histoplasmine; Histoplasmosis; Paracoccidiodine; Paracoccidioidomycosis; Venezuela;
D O I
10.1023/B:EJEP.0000017716.95609.bc
中图分类号
学科分类号
摘要
Paracoccidiodomycosis and histoplasmosis are endemic diseases in the south of Venezuela, representing a public health problem. Prevalence of Paracoccidiodes brasiliensis and Histoplasma capsulatum infections were estimated in Monte Ralo, a rural community area of Bolívar state using paracoccidiodine and histoplasmine skin tests. Paracoccidiodine was intradermically injected to 173 persons and readings were made at 24 and 48 h afterwards to 167 persons (97.85%). Reaction was positive in 8.5% (n = 14) at 24 h post-injection and 13.2% (n = 20) at 48 h. Farmers showed the higher percentage of positivity at 24 and 48 h. One hundred-seventy five persons were intradermically injected with histoplasmine but 167 and 157 of them attended for reading of the dermal reaction at 24 and 48 h post-injection respectively. Tests were positive in 25.7% (n = 43) at 24 h and 42.7% (n = 67) at 48 h. Further studies are needed in surrounding places to delimit the endemic area of these mycosis in the Bolívar state. However, epidemiological vigilance of PCM and H should be considered by local health authorities.
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页码:189 / 193
页数:4
相关论文
共 36 条
[1]  
Furcolow M.L., Future trends in the mycoses in Latin America, Proc. International Symposium on Mycoses, 205, pp. 265-268, (1970)
[2]  
Heloisa M., Blota L., Mamoni R.L., Et al., Endemic regions of paracoccidioidomycosis in Brasil: A clinical and epidemiologic study of 584 cases in the southeast region, Am J Trop Med Hyg, 61, pp. 390-394, (1999)
[3]  
Negroni R., Epidemiologia de Histoplasmosis, Rev Iberoam Micol, 1, pp. 93-98, (1984)
[4]  
Pessoa M.C., Silva C., Inquérito epidemiológico com histoplasmina e paracoccidioidina em Arapiraca-Alogoas, Rev Soc Brasil Med Trop, 23, pp. 213-215, (1990)
[5]  
Suarez M., Fernandez C.M., Estrada A., Cisneros E., Reactividad a la histoplasmina en trabajadores de Granjas avícolas en la provincia de Ciego de Avila, Cuba, Rev Inst Med Trop São Paulo, 34, pp. 329-333, (1992)
[6]  
Van Gelderen A., Duran E., Borges De Kestelman I., Histoplasmosis and paracoccidiomycoses in north-western Argentina III. Epidemiological survey in Vipos, La Toma, and Choromoto-Trancas, Tucumán, Argentina, Eur J Epidemiol, 15, pp. 383-388, (1999)
[7]  
Furcolow M.L., Recent studies on the epidemiology of histoplasmosis, Am NY Acad Sci, 72, pp. 127-164, (1958)
[8]  
Taylor M.L., Chavez-Tapia C.B., Vargas-Yanez R., Et al., Environmental conditions favoring bat infection with Histoplasma capsulatum in mexican shelters, Am J Trop Med Hyg, 61, pp. 914-919, (1999)
[9]  
Diogenes M.J.N., Goncalves H.M.G., Mapurunga A.C.P., Alencar K.F., Andrade F.B., Nogueira-Queiroz J.A., Reações à histoplasmina e paraccoccidioidina na serra de Pereiro (Estado do Cearà - Brasil), Rev Inst Med Trop São Paulo, 32, pp. 116-120, (1990)
[10]  
Van Gelderen De Komaid E.D., Borges De Kestelman I., Infección temprana con Histoplasma capsulatum y Paracoccidioides brasiliensis en el N.O de Tucuman, Argentina, Boletín Micológico, 13, pp. 5-10, (1998)