Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003
Abstract; Cryptococcosis is an opportunistic disease of worldwide distribution. It is frequently an AIDS-defining infection. Antiretroviral treatment has reduced its occurrence. In Venezuela, the impact of this disease is unknown. The aim of this study is to describe the most relevant features of cr...
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Universidad del Zulia,Facultad de Medicina,Departamento de Enfermedades Infecciosas y Tropicales
2009
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ftdoajarticles:oai:doaj.org/article:a7ffe2c2d06d47fc941261ef857ffab6 2023-10-09T21:49:29+02:00 Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003 Pérez Celina Hernández Yumaira Guzmán María E Arias Félix Nweihed Luzalba Landaeta María E Borges Rafael Madera Carlos Roselló Arantza Colella María T Hartung ClaudiaMata Essayag, Sofía Mata Essayag Sofía 2009-12-01T00:00:00Z https://doaj.org/article/a7ffe2c2d06d47fc941261ef857ffab6 EN ES eng spa Universidad del Zulia,Facultad de Medicina,Departamento de Enfermedades Infecciosas y Tropicales https://drive.google.com/file/d/1ytgCRQFb4I7bCgXZV5BSTCPNWgZVzFSP/view https://doaj.org/toc/0075-5222 https://doaj.org/toc/2477-9628 0075-5222 2477-9628 https://doaj.org/article/a7ffe2c2d06d47fc941261ef857ffab6 Kasmera, Vol 37, Iss 2, Pp 140-147 (2009) Cryptococcus neoformans cryptococcosis AIDS meningoencefalitis criptococosis SIDA Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2009 ftdoajarticles 2023-09-10T00:49:52Z Abstract; Cryptococcosis is an opportunistic disease of worldwide distribution. It is frequently an AIDS-defining infection. Antiretroviral treatment has reduced its occurrence. In Venezuela, the impact of this disease is unknown. The aim of this study is to describe the most relevant features of cryptococcosis in our country. Methods: 110 clinical records with a diagnosis of cryptococcosis hospitalized between 1994 and 2003 in 6 Venezuelan hospitals were analyzed. Data collected included demographic, clinical, diagnostic, therapeutic and outcome information. SPSS 10.0 software and EpiInfo 6, version 6.04 (2001) were used. Results: 110 patients with cryptococcosis were enrolled, including 17 autopsy protocols. One was 8 years old; the rest were over 15. Nineteen were female and 91 males; 91 (82.73%) had AIDS, 19 (17.27%) were HIV negative. Among the AIDS patients, average CD4+ count was < 200 cel/mm3 and viral load was > 30000 copies/ml; 52 (57.14%) did not have other opportunistic infections or AIDS-related disease, and 39 (42.86%) had other associated conditions, such as tuberculosis (30.97%), PCP (28.21%) and toxoplasmosis (20.51%). In HIV negative patients, use of steroids (25%) was the predominant risk factor. Two patients were pregnant. 107 (57.27%) presented CNS infection; 12 (13.19%) with AIDS had cranial nerve alterations. Pulmonary disease was found in 4 (3.77%), of which one had AIDS. Cryptococcosis was an AIDS-defining infection in 61.54% of cases; 33 (30%) of the patients died. Conclusions: In most of the patients, cryptococcosis was associated with AIDS. In spite of the efficacy of antiretroviral treatment, this mycosis is still significant in Venezuela, perhaps due to late HIV infection diagnosis. Resumen: La criptococosis es una enfermedad oportunista de distribución mundial. Frecuentemente es una infección definitoria de SIDA. El tratamiento antirretroviral ha disminuido su frecuencia. El impacto de esta entidad en Venezuela es desconocido. El objetivo de este trabajo es describir las ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Sida ENVELOPE(101.683,101.683,67.800,67.800) |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish |
topic |
Cryptococcus neoformans cryptococcosis AIDS meningoencefalitis criptococosis SIDA Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Cryptococcus neoformans cryptococcosis AIDS meningoencefalitis criptococosis SIDA Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Pérez Celina Hernández Yumaira Guzmán María E Arias Félix Nweihed Luzalba Landaeta María E Borges Rafael Madera Carlos Roselló Arantza Colella María T Hartung ClaudiaMata Essayag, Sofía Mata Essayag Sofía Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003 |
topic_facet |
Cryptococcus neoformans cryptococcosis AIDS meningoencefalitis criptococosis SIDA Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Abstract; Cryptococcosis is an opportunistic disease of worldwide distribution. It is frequently an AIDS-defining infection. Antiretroviral treatment has reduced its occurrence. In Venezuela, the impact of this disease is unknown. The aim of this study is to describe the most relevant features of cryptococcosis in our country. Methods: 110 clinical records with a diagnosis of cryptococcosis hospitalized between 1994 and 2003 in 6 Venezuelan hospitals were analyzed. Data collected included demographic, clinical, diagnostic, therapeutic and outcome information. SPSS 10.0 software and EpiInfo 6, version 6.04 (2001) were used. Results: 110 patients with cryptococcosis were enrolled, including 17 autopsy protocols. One was 8 years old; the rest were over 15. Nineteen were female and 91 males; 91 (82.73%) had AIDS, 19 (17.27%) were HIV negative. Among the AIDS patients, average CD4+ count was < 200 cel/mm3 and viral load was > 30000 copies/ml; 52 (57.14%) did not have other opportunistic infections or AIDS-related disease, and 39 (42.86%) had other associated conditions, such as tuberculosis (30.97%), PCP (28.21%) and toxoplasmosis (20.51%). In HIV negative patients, use of steroids (25%) was the predominant risk factor. Two patients were pregnant. 107 (57.27%) presented CNS infection; 12 (13.19%) with AIDS had cranial nerve alterations. Pulmonary disease was found in 4 (3.77%), of which one had AIDS. Cryptococcosis was an AIDS-defining infection in 61.54% of cases; 33 (30%) of the patients died. Conclusions: In most of the patients, cryptococcosis was associated with AIDS. In spite of the efficacy of antiretroviral treatment, this mycosis is still significant in Venezuela, perhaps due to late HIV infection diagnosis. Resumen: La criptococosis es una enfermedad oportunista de distribución mundial. Frecuentemente es una infección definitoria de SIDA. El tratamiento antirretroviral ha disminuido su frecuencia. El impacto de esta entidad en Venezuela es desconocido. El objetivo de este trabajo es describir las ... |
format |
Article in Journal/Newspaper |
author |
Pérez Celina Hernández Yumaira Guzmán María E Arias Félix Nweihed Luzalba Landaeta María E Borges Rafael Madera Carlos Roselló Arantza Colella María T Hartung ClaudiaMata Essayag, Sofía Mata Essayag Sofía |
author_facet |
Pérez Celina Hernández Yumaira Guzmán María E Arias Félix Nweihed Luzalba Landaeta María E Borges Rafael Madera Carlos Roselló Arantza Colella María T Hartung ClaudiaMata Essayag, Sofía Mata Essayag Sofía |
author_sort |
Pérez Celina |
title |
Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003 |
title_short |
Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003 |
title_full |
Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003 |
title_fullStr |
Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003 |
title_full_unstemmed |
Estudio clínico-epidemiológico de la criptococosis en Venezuela, años 1994-2003 |
title_sort |
estudio clínico-epidemiológico de la criptococosis en venezuela, años 1994-2003 |
publisher |
Universidad del Zulia,Facultad de Medicina,Departamento de Enfermedades Infecciosas y Tropicales |
publishDate |
2009 |
url |
https://doaj.org/article/a7ffe2c2d06d47fc941261ef857ffab6 |
long_lat |
ENVELOPE(101.683,101.683,67.800,67.800) |
geographic |
Arctic Sida |
geographic_facet |
Arctic Sida |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Kasmera, Vol 37, Iss 2, Pp 140-147 (2009) |
op_relation |
https://drive.google.com/file/d/1ytgCRQFb4I7bCgXZV5BSTCPNWgZVzFSP/view https://doaj.org/toc/0075-5222 https://doaj.org/toc/2477-9628 0075-5222 2477-9628 https://doaj.org/article/a7ffe2c2d06d47fc941261ef857ffab6 |
_version_ |
1779312503304486912 |