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Bulletin de La Societe de Pathologie... Feb 2015Fungi are schematically responsible for three distinct kinds of infections: superficial mycoses, subcutaneous and deep ones. The current socio-epidemiological transition...
Fungi are schematically responsible for three distinct kinds of infections: superficial mycoses, subcutaneous and deep ones. The current socio-epidemiological transition observed in sub-Saharan Africa does not actually lead to similar consequences regarding these three categories of fungal entities. For instance, it has long been known that superficial mycoses are very prevalent in tropical areas, since they are partly due to the warm climate and the promiscuity. They are mostly caused by dermatophytic fungi or Malassezia sp. (Pityriasis versicolor). Subcutaneous mycoses are rarer, and usually due to dimorphic fungi which are accidentally inoculated into the body after a skin injury or a trauma. Sometimes very spectacular, the clinical outcome is then described as chronic. Thus, chromoblastomycosis, rhinoentomophtoromycosis or mycetoma are some examples of subcutaneous mycoses which remain well-known by practitioners of endemic countries. Deep mycoses (or invasive / systemic mycoses) are defined by fungal infections of deep anatomical sites that should be normally sterile. By contrast with the other entities mentioned above, the outcome may be rapidly fatal for the patient. One of the most outstanding examples was the great increasing of cryptococcal meningitis during the HIV outbreak in the 80'. A few other similar mycoses may be feared in a near future, since they usually occur in contexts of important immunosuppression which are about to be definitely experienced in Africa: overall increase of chronic diseases like diabetes, lengthening life expectancy and its associated diseases, widespread medical practices which were only seen in advanced intensive care units, onco-haematology departments or graft centers so far. Thus, the deep mycoses will inevitably increase in Africa, as they did in all developed countries over the last two decades. The consequences will not only be limited to the clinical management as described above: the diagnostic approach is also quite particular, since the identification of the involved fungal species should be established in emergency, if not the outcome will be fatal. Besides, the antifungal drugs are expensive, and their therapeutic monitoring is quite challenging all along the follow up. Overall, we have to thoroughly take into account the emergence of invasive mycoses right now in Intertropical Africa, in order to successfully achieve the socio-economic development of this continent.
Topics: Africa South of the Sahara; Attitude to Health; Health Care Costs; Humans; Mycoses; Prevalence; Socioeconomic Factors
PubMed: 24997574
DOI: 10.1007/s13149-014-0376-3 -
Nihon Ishinkin Gakkai Zasshi = Japanese... 2006Recent situation of HIV-related mycosis was discussed in this paper, with the analysis of 1) annual report of HIV trends in Japan by the AIDS epidemiology committee, 2)... (Review)
Review
Recent situation of HIV-related mycosis was discussed in this paper, with the analysis of 1) annual report of HIV trends in Japan by the AIDS epidemiology committee, 2) report of HIV-related opportunistic infections (OIs) collected by the AIDS-OIs research group funded by the Ministry of Health, Labour and Welfare, and 3) 17 cases of HIV-related aspergillosis collected by the author. Annual AIDS cases were increasing, and their major diseases were included with the following mycosis: pneumosystis pneumonia 35.7%, candidiasis 19.1%, and cryptococcosis 2.4%. There were two foreigner's cases of histoplasmosis and no coccidioidosis. Candidiasis was likely to be shown in Japanese patients and cryptococcosis was in foreigners. Outcome of cryptococcosis was very poor as 32.7% of patients died. There were 17 HIV-related aspergillosis, which consisted of 13 cases of lung diseases, 2 of brain lesions, and one each of sinus and stomach disease. Remarkable risk factor of HIV-related aspergillosis was decrease of CD4 cell count less than 10/microl, in addition to the usual risk factors of aspergillosis. Outcome of aspergillosis was very poor, as all treated cases died except one recent case treated with voriconazole.
Topics: AIDS-Related Opportunistic Infections; Aspergillosis; Humans; Mycoses
PubMed: 16940949
DOI: 10.3314/jjmm.47.161 -
Nihon Naika Gakkai Zasshi. the Journal... Nov 1998
Review
Topics: Aspergillosis; Candidiasis; Cryptococcosis; Humans; Mycoses; Opportunistic Infections; Serologic Tests
PubMed: 9921203
DOI: No ID Found -
Indian Journal of Medical Microbiology 2012Rhizoctonia solani is a most widely recognized strong saprophyte with a great diversity of host plants. It is a first ever case of extensive human mycosis caused by...
Rhizoctonia solani is a most widely recognized strong saprophyte with a great diversity of host plants. It is a first ever case of extensive human mycosis caused by Rhizoctonia solani in a 65-year-old diabetic and hypertensive farmer, with a history of head injury caused by fall of mud wall. Necrotic material collected revealed septate fungal hyphae with bacterial co-infection. Fungal culture on SDA at 25°C showed cotton wooly growth progressing to greyish-white to shiny metallic black colonies and identified on basis of septate mycelial growth without conidia, right angle branching, presence of compact hyphal forms and anastomosis between branching hyphae on LPCB mount.
Topics: Aged; Craniocerebral Trauma; Diabetes Complications; Humans; Hypertension; Male; Mycology; Mycoses; Rhizoctonia
PubMed: 22885211
DOI: 10.4103/0255-0857.99508 -
The Veterinary Record Oct 1968
Topics: Animals; Horse Diseases; Horses; Mycoses; Respiratory Tract Infections
PubMed: 5748767
DOI: 10.1136/vr.83.17.422 -
The Journal of the Maine Medical... May 1949
Topics: Dermatomycoses; Humans; Mycoses; Tinea
PubMed: 18144322
DOI: No ID Found -
Journal. Bowman Gray School of Medicine Oct 1949
Topics: Ear; Humans; Mycoses; Otomycosis
PubMed: 24536866
DOI: No ID Found -
Journal of the American Institute of... Dec 1947
Topics: Dermatomycoses; Humans; Mycoses; Tinea
PubMed: 18897363
DOI: No ID Found -
Hawaii Medical Journal 1946
Topics: Ear; Humans; Mycoses; Otomycosis
PubMed: 21025558
DOI: No ID Found -
Journal of the Indian Medical... Dec 1978
Topics: Adult; Dermatomycoses; Female; Humans; India; Mycoses
PubMed: 753895
DOI: No ID Found