2016
DOI: 10.1590/0037-8682-0327-2015
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Spatial distribution of disseminated histoplasmosis and AIDS co-infection in an endemic area of Northeastern Brazil

Abstract: Introduction:The spatial distribution of disseminated histoplasmosis (DH) and acquired immunodeficiency syndrome (AIDS) co-infection in adult residents of Fortaleza, Ceará, Brazil was evaluated. Methods: Socio-demographic data for the DH/AIDS cases were obtained from a reference hospital, and socio-environmental indicators were obtained from an official Brazilian institute. Kernel analysis and local indicators of spatial autocorrelation (LISA) cluster maps were used to estimate the case density within the city… Show more

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Cited by 4 publications
(3 citation statements)
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“…These studies clearly demonstrate that northeastern Brazil, particularly Ceará State, is a highly endemic area of histoplasmosis, and is associated with a high annual death rate among HIV patients 24 . In Fortaleza (the capital of Ceará State), many cases of histoplasmosis are associated with low sanitation capacity, ecotourism, and fishing 25 .…”
Section: Introductionmentioning
confidence: 99%
“…These studies clearly demonstrate that northeastern Brazil, particularly Ceará State, is a highly endemic area of histoplasmosis, and is associated with a high annual death rate among HIV patients 24 . In Fortaleza (the capital of Ceará State), many cases of histoplasmosis are associated with low sanitation capacity, ecotourism, and fishing 25 .…”
Section: Introductionmentioning
confidence: 99%
“…A distribuição dos casos de histoplasmose disseminada em indivíduos HIV positivo, residentes em Fortaleza/Ceará revelou que a maior frequência dos casos desta coinfecção ocorreu em indivíduos que residiam em área com baixos índices de saneamento básico, e naqueles que habitavam uma região próxima a um parque ambiental (CORREIA et al, 2016). Contudo, a maioria dos casos relatados de HPA ocorre geralmente em indivíduos que realizam atividades em grutas ou cavernas habitadas por morcegos ou aves, ou durante atividades de limpeza de locais abandonados, onde há micronichos de H. capsulatum (KAUFFMAN, 2007).…”
Section: Basidiomycotaunclassified
“…In the HIV era, disseminated histoplasmosis (DH) has emerged as a public health problem in endemic areas, notably those with low resources, mainly affecting AIDS-patients with severe immunosuppression. In Ceará state, located in northeastern Brazil, DH is an important cause of hospitalization and death in HIV-infected patients [4]. Damasceno et.…”
Section: Introductionmentioning
confidence: 99%