Jorge O. Lopes

Epidemiology of sporotrichosis in the central region of Rio Grande do Sul

Thirty-one cases of sporotrichosis diagnosed in the central region of Rio Grande do Sul from 1988 to 1997 were studied. Clinical data were compared with a study concerning three past decades, clearly showing a decrease in the incidence of the mycosis, and an alteration in the profile of the infection, with a decrease of sporotrichosis in rural patients, children, women and farmers. In the past decade the mycosis was most frequent among urban adults with different professions, with the onset of the disease being associated with rural leisure activities such as fishing and hunting.

A ten-year survey of onychomycosis in the Central Region of the Rio Grande do Sul, Brazil

Onychomycosis is a common infection of the nail plate caused by fungal microrganisms, and represents approximately 50% of nails disorders and 30% of all superficial mycotic infections. We present a study of the frequency, epidemiology and clinical aspects of onychomycosis in the central region of Rio Grande do Sul during the period 1988-1997.

Cutaneous zygomycosis caused by Absidia corymbifera in a leukemic patient

A case of cutaneous zygomycosis caused byAbsidia coryabifera in a leukemic patient submitted to chemotherapy is reported. The lesion was located on the little finger of the right hand and probably resulted from a latent osteomyelitis. It progressed to form extensive necrotic area. No systemic infection was detected and the lesion did not appear to be associated with any trauma.

Subcutaneous Pseudallescheriasis in a renal transplant recipient

This paper reports a case of a single subcutaneous nodule caused byPseudallescheria boydii in a renal transplant recipient, possibly of nontraumatic origin. The patient was treated surgically and with itraconazole.

Acremonium kiliense peritonitis complicating continuous ambulatory peritoneal dialysis: report of two cases

Two cases of peritonitis caused byAcremonium kiliense in patients receiving a continuous ambulatory peritoneal dialysis treatment are reported. Diagnosis was established by direct examination and cultures of dialysis effluent, secretion of catheter-exit-site and from the tip of the catheter. Management of fungal peritonitis includes catheter removal, since in this infection the result of systemic antifungal therapy is inconsistent.

Curvularia lunata peritonitis complicating peritoneal dialysis

A case of peritonitis due toCurvularia lunata during continuous ambulatory peritoneal dialysis is reported. Diagnosis was established by culture of dialysis effluent and peritoneal exudate, and was also confirmed through histological examination.

Development of Secondary Resistance to Fluconazole in Cryptococcus neoformans Isolated from a Patient with AIDS

Cryptococcus neoformans is the fifth most common opportunistic agent of infection in patients with AIDS in the USA, exceeded only by Candida species, Pneumocystis carinii, cytomegalovirus and Mycobacterium avium1, 2, 6, 10, 11. In Brazil is the sixth, exceeded by Candida species, P. carinii, Mycobacterium species, Toxoplasma gondii, and herpes simplex virus (AIDS, Boletim Epidemiologico, set/nov 96, Ministerio da Saude, Brasil). During 30 years, the treatment of C. neoformans meningitis was based on the use of amphotericin B with or without flucytosine13. Nowadays, with the immunodepression caused by human immunodeficiency virus (HIV) infection and the availability of new antifungal drugs as the triazoles, the concept related to cure and relapses of cryptococcosis has been altered7, 20. Patients are treated with amphotericin B with or without flucytosine as initial therapy, but maintenance therapy is always necessary in AIDS patients with C. neoformans infections

Cromoblastomicose no Rio Grande do Sul: relato de 12 casos

Twelve cases of chromoblastomycosis diagnosed in Rio Grande do Sul during 1988-1995 are reported. The clinical aspects are analyzed and compared with the literature. Fonsecaea pedrosoi was the only microorganism isolated.

Dermatofitoses humanas no interior do Rio Grande do Sul no período 1988-1992

O espectro dos dermatofitos na regiao central do Rio Grande do Sul demonstrou importante variacao na frequencia das especies no periodo 1988-1992. As especies antropofilicas Trichophyton rubrum, T. mentagrophytes var. interdigitale e Epidermophyton floccosum diminuiram em frequencia, enquanto as especies zoofilicas Microsporum canis e T. mentagrophytes var. mentagrophytes apresentaram sensivel aumento. Sao comentadas as alteracoes na relacao parasita/hospedeiro em funcao das alteracoes na morfologia dos agentes e a dificuldade do isolamento destes agentes em cultivo.The relative frequency of the dermatophytes in the central region of Rio Grande do Sul, Brazil, have changed during a survey carried out from 1988-1992. The frequency of the antropophilic species T. rubrum, T. mentagrophytes var. interdigitale and E. floccosum have decreased in comparison with the zoophilic species M. canis and T. mentagrophytes var. mentagrophytes. The relationship host/parasite and the low rate growth of dermatophytes in culture are discussed.The relative frequency of the dermatophytes in the central region of Rio Grande do Sul, Brazil, have changed during a survey carried out from 1988-1992. The frequency of the antropophilic species T. rubrum, T. mentagrophytes var. interdigitale and E.floccosum have decreased in comparison with the zoophilic species M. canis and T. mentagrophytes var. mentagrophytes. The relationship host/parasite and the low rate growth of dermatophytes in culture are discussed.

Histoplasma capsulatum peritonitis associated with continuous ambulatory peritoneal dialysis

This paper reports a case of infection byHistoplasma capsulatum apparently restricted to the peritoneum in a woman submitted to continuous ambulatory peritoneal dialysis. Diagnosis was established by culture of dialysis fluid and peritoneal nodule and by histopathologic examination.