1998
DOI: 10.1590/s0036-46651998000100003
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Abstract: Thirty six cases of acute disseminated paracoccidioidomycosis in 3 to 12 year-old children, natives of the state of Rio de Janeiro, were seen in the period 1981-1996. All patients were residents in the rural region of 15 counties, scattered on the Southwestern part of this state. The rural region of two neighboring counties, where 16 cases (44.4%) occurred, was visited. It exhibited the environmental conditions that are considered favorable to the survival of P. brasiliensis. The most important of these condit… Show more

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Cited by 27 publications
(27 citation statements)
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“…It is interesting that in 5 Brazilian childhood series that distributed their cases by gender (Table 4), no differences in the boy-to-girl ratio were found (7,35,45,68,83). The overall ratio for the 158 children with data was 1.16 to 1.…”
Section: Distribution In Childhood Disease According To Gendermentioning
confidence: 91%
See 1 more Smart Citation
“…It is interesting that in 5 Brazilian childhood series that distributed their cases by gender (Table 4), no differences in the boy-to-girl ratio were found (7,35,45,68,83). The overall ratio for the 158 children with data was 1.16 to 1.…”
Section: Distribution In Childhood Disease According To Gendermentioning
confidence: 91%
“…The prevalence cited above seems to have experienced changes in certain localities, where childhood cases have reached figures as high as 13% (35,83). Increased numbers of childhood cases in areas where this disorder had previously been considered rare were noticed by Rios-Gonçalves et al (83), who suggested that colonization and the gradual removal of the original native forests probably had exposed children to aerosolized fungal propagules, leading to increased disease rates (68,83). Of importance, and contrary to the predominance of adult males with PCM, no difference was noticed between boys and girls, as shown in Table 2.…”
Section: Age and Occupational Profile Of Patients With Paracoccidioidmentioning
confidence: 99%
“…Altitude entre 50 e 1700 m; 3. Vegetação abundante [7][8][9][10][11] , 4. Algumas culturas agrícolas, particularmente o café 7,11 .…”
Section: Discussionunclassified
“…No Brasil, onde a prevalência é maior (5,6 a 17,5 % em estudos com testes intradérmicos 1,12,13 ) a doença incide predominantemente na região Sudeste e em particular nos estados de São Paulo e Minas Gerais 2,7 . A paracoccidioidomicose-doença tem sido constatada em todas as faixas etárias a partir dos três anos de idade 7,10 preponderando, entretanto, entre os 30 e 50 anos. Descreve-se como paciente típico um indivíduo do gênero masculino, subnutrido, rurícola, que vive ou viveu em íntimo contato com a terra, e sua enfermidade apresenta caráter crônico 2,3,8 .…”
Section: Discussionunclassified
“…Another circumstance that has hindered tracing the habitat has been the lack of information on outbreaks, which could have facilitated detection of the common source of infection (Lacaz et al, 2002;Restrepo et al, 2001). An increased number of childhood cases in areas where this disorder had previously been considered rare was noted by Coimbra et al (1994) and Gonçalves et al (1998), who suggested that colonization, gradual felling of the original native forests or changes in agricultural practices had probably exposed children to aerosolized fungal propagules, leading to increased disease rates. By the same token, in their study of 1,000 patients, Bellissimo-Rodrigues et al (2011) pinpointed an area with the highest number of juvenile PCM cases, all of whom had resided close to coffee plantations, thereby raising the possibility of aerosol infection through agriculture-related work.…”
Section: General Concepts On Ecologymentioning
confidence: 99%