Reducao na prevalencia da forma aguda/subaguda da paracoccidioidomicose em Mato Grosso do Sul, Brasil

With the objective to evaluate the behavior of paracoccidioidomycosis in the last three decades, clinical and epidemiological data of 595 patients admitted to clinical services of the Federal University of Mato Grosso do Sul from 1980 to 2009 were investigated. Gender, age distribution, clinical form, comorbidity with tuberculosis or AIDS, and mortality were compared by decades of clinical admission. It was shown that during the three decades there was a decrease in women percentage, and the same manner occurred a reduction in participants in the age group of 20 to 39 years. Moreover, the acute/subacute forms have been diminished in the period. These fluctuations are closely related and can be simultaneously analyzed. Increased AIDS co-infection prevalence from the first to the second decade was also revealed, coinciding with the appearance of the retroviral epidemic and stabilizing during the third decade. No change in the tuberculosis co-infection rate was observed (overall = 6.9%). It reinforces the importance of this co-morbidity. The overall mortality rate remained steady at 6.7%, not varying significantly from one decade to another. The persistent mortality rate calls attention to the importance of this neglected disease.Com o objetivo de avaliar o comportamento da paracoccidioidomicose nas últimas três décadas, dados clínicos e epidemiológicos de 595 pacientes atendidos dentre 1980 a 2009 no Hospital da Universidade Federal de Mato Grosso do Sul foram estudados. Sexo, faixa etária, forma clínica, associação com tuberculose ou AIDS e mortalidade foram comparados por década em que a doença foi diagnosticada. Observou-se, nas três décadas do estudo, uma redução do percentual de mulheres, de pacientes do grupo de 20 a 39 anos, assim como de casos com a forma aguda/subaguda. Estas alterações estão intimamente relacionadas e podem ser analisadas simultaneamente. Houve aumento de casos de coinfecção com AIDS da primeira para segunda década, coincidindo com o surgimento da epidemia, e manteve-se estável durante a década seguinte. Não houve alteração da taxa de coinfecção com tuberculose, que no geral foi de 6,9% o que reforça a importância desta comorbidade. A taxa geral de mortalidade foi de 6,7% e também não variou entre as décadas estudadas. A manutenção da taxa de óbitos chama a atenção para a relevância dessa doença negligenciada

DECREASING PREVALENCE OF THE ACUTE/SUBACUTE CLINICAL FORM OF PARACOCCIDIOIDOMYCOSIS IN MATO GROSSO DO SUL STATE, BRAZIL

With the objective to evaluate the behavior of paracoccidioidomycosis in the last three decades, clinical and epidemiological data of 595 patients admitted to clinical services of the Federal University of Mato Grosso do Sul from 1980 to 2009 were investigated. Gender, age distribution, clinical form, comorbidity with tuberculosis or AIDS, and mortality were compared by decades of clinical admission. It was shown that during the three decades there was a decrease in women percentage, and the same manner occurred a reduction in participants in the age group of 20 to 39 years. Moreover, the acute/subacute forms have been diminished in the period. These fluctuations are closely related and can be simultaneously analyzed. Increased AIDS co-infection prevalence from the first to the second decade was also revealed, coinciding with the appearance of the retroviral epidemic and stabilizing during the third decade. No change in the tuberculosis co-infection rate was observed (overall = 6.9%). It reinforces the importance of this co-morbidity. The overall mortality rate remained steady at 6.7%, not varying significantly from one decade to another. The persistent mortality rate calls attention to the importance of this neglected disease

Fungic microflora of Panicum maximum and Styosanthes spp. commercial seed / <br> Microflora fúngica de sementes comerciais de Panicum maximum e Stylosanthes spp.

The sanitary quality of 26 lots commercial seeds of tropical forages, produced in different regions (2004-05 and 2005-06) was analyzed. The lots were composed of seeds of Panicum maximum ('Massai', 'Mombaça' e 'Tanzânia') and stylo ('Estilosantes Campo Grande' - ECG). Additionally, seeds of two lots of P. maximum for exportation were analyzed. The blotter test was used, at 20ºC under alternating light and darkness in a 12 h photoperiod, for seven days. The Aspergillus, Cladosporium and Rhizopus genus consisted the secondary or saprophytes fungi (FSS) with greatest frequency in P. maximum lots. In general, there was low incidence of these fungus in the seeds. In relation to pathogenic fungi (FP), it was detected high frequency of contaminated lots by Bipolaris, Curvularia, Fusarium and Phoma genus. Generally, there was high incidence of FP in P. maximum seeds. The occurrence of Phoma sp. was hight, because in 81% of the lots showed incidence superior to 50%. In 'ECG' seeds it was detected FSS (Aspergillus, Cladosporium, and Penicillium genus) and FP (Bipolaris, Curvularia, Fusarium and Phoma genus), usually, in low incidence. FSS and FP were associated to P. maximum seeds for exportation, with significant incidence in some cases. The results indicated that there was a limiting factor in all producer regions regarding sanitary quality of the seeds.<p><p>Sementes comerciais de forrageiras tropicais, pertencente a 26 lotes produzidos em diferentes regiões (safras 2004-05 e 2005-06), foram avaliadas quanto à sanidade. Foram analisadas sementes de cultivares de Panicum maximum (Massai, Mombaça e Tanzânia) e de estilosantes (Estilosantes Campo Grande – ECG). Adicionalmente, avaliou-se a qualidade sanitária de dois lotes de sementes de P. maximum destinados à exportação. Para isso, as sementes foram submetidas ao teste de papel de filtro em gerbox, os quais foram incubados a 20ºC, com fotoperíodo de 12 h, durante sete dias. Os fungos saprófitos ou secundários (FSS) mais frequentemente detectados nos lotes de P. maximum foram Aspergillus sp., Cladosporium sp. e Rhizopus sp., os quais, em geral, apresentaram baixa incidência nas sementes. Quanto aos fungos patogênicos (FP), constatou-se elevado número de lotes contaminados pelos gêneros Bipolaris, Curvularia, Fusarium e Phoma. Em geral, foi elevada a incidência de FP nas sementes de P. maximum. A ocorrência de Phoma sp. foi a mais crítica, pois 81% dos lotes registraram índices superiores a 50%. Nas sementes de ‘ECG’ foram detectados FSS (gêneros Aspergillus, Cladosporium e Penicillium) e FP (gêneros Bipolaris, Curvularia, Fusarium e Phoma), os quais apresentaram, em geral, baixa incidência. FSS e FP também foram associados às sementes de P. maximum tipo exportação, em alguns casos, com incidência considerável. Os resultados indicaram que em todas as regiões produtoras existiu pelo menos um fator limitante afetando a qualidade sanitária das sementes

DECREASING PREVALENCE OF THE ACUTE/SUBACUTE CLINICAL FORM OF PARACOCCIDIOIDOMYCOSIS IN MATO GROSSO DO SUL STATE, BRAZIL

Com o objetivo de avaliar o comportamento da paracoccidioidomicose nas últimas três décadas, dados clínicos e epidemiológicos de 595 pacientes atendidos dentre 1980 a 2009 no Hospital da Universidade Federal de Mato Grosso do Sul foram estudados. Sexo, faixa etária, forma clínica, associação com tuberculose ou AIDS e mortalidade foram comparados por década em que a doença foi diagnosticada. Observou-se, nas três décadas do estudo, uma redução do percentual de mulheres, de pacientes do grupo de 20 a 39 anos, assim como de casos com a forma aguda/subaguda. Estas alterações estão intimamente relacionadas e podem ser analisadas simultaneamente. Houve aumento de casos de coinfecção com AIDS da primeira para segunda década, coincidindo com o surgimento da epidemia, e manteve-se estável durante a década seguinte. Não houve alteração da taxa de coinfecção com tuberculose, que no geral foi de 6,9% o que reforça a importância desta comorbidade. A taxa geral de mortalidade foi de 6,7% e também não variou entre as décadas estudadas. A manutenção da taxa de óbitos chama a atenção para a relevância dessa doença negligenciada.With the objective to evaluate the behavior of paracoccidioidomycosis in the last three decades, clinical and epidemiological data of 595 patients admitted to clinical services of the Federal University of Mato Grosso do Sul from 1980 to 2009 were investigated. Gender, age distribution, clinical form, comorbidity with tuberculosis or AIDS, and mortality were compared by decades of clinical admission. It was shown that during the three decades there was a decrease in women percentage, and the same manner occurred a reduction in participants in the age group of 20 to 39 years. Moreover, the acute/subacute forms have been diminished in the period. These fluctuations are closely related and can be simultaneously analyzed. Increased AIDS co-infection prevalence from the first to the second decade was also revealed, coinciding with the appearance of the retroviral epidemic and stabilizing during the third decade. No change in the tuberculosis co-infection rate was observed (overall = 6.9%). It reinforces the importance of this co-morbidity. The overall mortality rate remained steady at 6.7%, not varying significantly from one decade to another. The persistent mortality rate calls attention to the importance of this neglected disease