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Paracoccidioidomycosis: Current Perspectives from Brazil
Ricardo de Souza Cavalcante1
Sílvio Alencar Marques2
Mariângela Esther Alencar Marques3
James Venturini4
Tatiane Fernanda Sylvestre1
Anamaria Mello Miranda Paniago5
Ana Carla Pereira6
Julhiany de Fátima da Silva1
Alexandre Todorovic Fabro7
Sandra de Moraes Gimenes Bosco8
Eduardo Bagagli8
Rosane Christine Hahn9
Adriele Dandara Levorato1
Authors Info & Affiliations
Abstract
Background:
This review article summarizes and updates the knowledge on paracoccidioidomycosis. P lutzii and the cryptic species of P. brasiliensis and their geographical distribution in Latin America, explaining the difficulties observed in the serological diagnosis.
Objectives:
Emphasis has been placed on some genetic factors as predisposing condition for paracoccidioidomycosis. Veterinary aspects were focused, showing the wide distribution of infection among animals. The cell-mediated immunity was better characterized, incorporating the recent findings.
Methods:
Serological methods for diagnosis were also compared for their parameters of accuracy, including the analysis of relapse.
Results:
Clinical forms have been better classified in order to include the pictures less frequently observesiod.
Conclusion:
Itraconazole and the trimethoprim-sulfamethoxazole combination was compared regarding efficacy, effectiveness and safety, demonstrating that azole should be the first choice in the treatment of paracoccidioidomycosis.
