دورية أكاديمية
Clinical and microbiological features of cryptococcal meningitis
| العنوان: | Clinical and microbiological features of cryptococcal meningitis |
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| المؤلفون: | Lucia Kioko Hasimoto e Souza, Carolina Rodrigues Costa, Orionalda de Fatima Lisboa Fernandes, Fernando Yano Abrao, Thaisa Cristina Silva, Carolina Martins Tremea, Maria do Rosario Rodrigues Silva |
| المصدر: | Revista da Sociedade Brasileira de Medicina Tropical, Vol 46, Iss 3, Pp 343-347 (2013) |
| بيانات النشر: | Sociedade Brasileira de Medicina Tropical (SBMT), 2013. |
| سنة النشر: | 2013 |
| المجموعة: | LCC:Arctic medicine. Tropical medicine |
| مصطلحات موضوعية: | Cryptococcosis, HIV, Epidemiological and clinical features, Arctic medicine. Tropical medicine, RC955-962 |
| الوصف: | Introduction In this study, the clinical features, underlying diseases and clinical outcomes of patients with cryptococcosis were investigated. In addition, a molecular analysis of the Cryptococcus neoformans species complex isolated from these patients was performed. Methods A prospective study of 62 cases of patients with cryptococcal infection was conducted at the Hospital de Doenças Tropicais de Goiás Dr. Anuar Auad from 2009-2010. Cryptococcal meningitis cases were diagnosed by direct examination and cerebrospinal fluid (CSF) sample culture. The profiling of these patients was assessed. The CSF samples were submitted to India ink preparation and cultured on Sabouraud dextrose agar, and C. neoformans was identified by the production of urease, a positive phenoloxidase test and assimilation of carbohydrates. C. neoformans and C. gattii isolates were distinguished by growth on L-canavanine-glycine-bromothymol blue medium, and molecular analysis was conducted via PCR fingerprinting reactions using M13 and (GACA)4 primers. Results From the 62 patients with cryptococcosis, 71 isolates of CSF were obtained; 67 (94.4%) isolates were identified as C. neoformans var. grubii/VNI, and 4 (5.6%) were identified as C. gattii/VGII. Of these patients, 53 had an HIV diagnosis. The incidence of cryptococcosis was higher among patients 20-40 years of age, with 74.2% of the cases reported in males. Cryptococcus-related mortality was noted in 48.4% of the patients, and the symptoms were altered sensorium, headache, fever and stiff neck. Conclusions The high morbidity and mortality observed among patients with cryptococcosis demonstrate the importance of obtaining information regarding the epidemiological profile and clinical course of the disease in the State of Goiás, Brazil. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1678-9849 0037-8682 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000300343&lng=en&tlng=en; https://doaj.org/toc/1678-9849 |
| DOI: | 10.1590/0037-8682-0061-2012 |
| URL الوصول: | https://doaj.org/article/0566a4a1807c43eb8037cfe00cf4c610 |
| رقم الأكسشن: | edsdoj.0566a4a1807c43eb8037cfe00cf4c610 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 16789849 00378682 |
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| DOI: | 10.1590/0037-8682-0061-2012 |