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Moraes PCD, Eidt LM, Koehler A, Ransan LG, Scrofeneker ML. Epidemiological characteristics of leprosy from 2000 to 2019 in a state with low endemicity in southern Brazil. An Bras Dermatol 2023; 98:602-610. [PMID: 37120406 PMCID: PMC10404493 DOI: 10.1016/j.abd.2022.08.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 08/16/2022] [Accepted: 08/31/2022] [Indexed: 05/01/2023] Open
Abstract
BACKGROUND Leprosy is an infectious and contagious disease caused by Mycobacterium leprae and is mainly characterized by lesions in the skin and peripheral nerves. In Brazil, it is a public health problem due to its high endemicity. However, the state of Rio Grande do Sul presents low endemicity of this disease. OBJECTIVE To characterize the epidemiological profile of leprosy in the state of Rio Grande do Sul from 2000 to 2019. METHODS This was a retrospective observational study. Epidemiological data were collected from the Notifiable Diseases Information System (SINAN, Sistema de Informação de Agravos de Notificação). RESULTS Among the 497 municipalities in the state, 357 (71.8%) registered cases of leprosy in the assessed period, with an average of 212 (81.5%) new cases per year. The average detection rate was 1.61 new cases per 100,000 inhabitants. The male sex was predominant (51.9%) and the mean age was 50.4 years. Regarding the epidemiological clinical profile; 79.0% of the patients were multibacillary; 37.5% presented the borderline clinical form; 16% had grade 2 physical disability at diagnosis and bacilloscopy was positive in 35.4% of cases. As for treatment, 73.8% of the cases were treated with the standard multibacillary therapeutic regimen. STUDY LIMITATIONS There were missing/inconsistent data in the database available. CONCLUSIONS The findings observed in this study indicate that the state presents a low endemicity profile of the disease and these results can support adequate health policies relevant to the reality of Rio Grande do Sul, inserted in a national scenario of highly endemic leprosy.
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Affiliation(s)
- Paulo Cezar de Moraes
- Department of Sanitary Dermatology, Sanitary Dermatology Outpatient Clinic, State Health Secretariat of Rio Grande do Sul, Porto Alegre, RS, Brazil; Postgraduation Program in Medicine ‒ Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Letícia Maria Eidt
- Department of Sanitary Dermatology, Sanitary Dermatology Outpatient Clinic, State Health Secretariat of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Alessandra Koehler
- Department of Microbiology, Immunology and Parasitology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Postgraduation Program in Medicine ‒ Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Leonardo Girardi Ransan
- Department of Microbiology, Immunology and Parasitology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Postgraduation Program in Medicine ‒ Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Maria Lúcia Scrofeneker
- Department of Microbiology, Immunology and Parasitology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Postgraduation Program in Medicine ‒ Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
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Maciel-Fiuza MF, Costa PDSS, Kowalski TW, Schuler-Faccini L, Bonamigo RR, Vetoratto R, Eidt LM, de Moraes PC, Silveira MIDS, Camargo LMA, Callegari-Jacques SM, Castro SMDJ, Vianna FSL. Evaluation of Polymorphisms in Toll-Like Receptor Genes as Biomarkers of the Response to Treatment of Erythema Nodosum Leprosum. Front Med (Lausanne) 2022; 8:713143. [PMID: 35141236 PMCID: PMC8819000 DOI: 10.3389/fmed.2021.713143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 12/09/2021] [Indexed: 01/18/2023] Open
Abstract
Erythema nodosum leprosum (ENL) is an inflammatory complication caused by a dysregulated immune response to Mycobacterium leprae. Some Toll-like receptors (TLRs) have been identified as capable of recognizing antigens from M. leprae, triggering a wide antimicrobial and inflammatory response. Genetic polymorphisms in these receptors could influence in the appearance of ENL as well as in its treatment. Thus, the objective of this work was to evaluate the association of genetic variants of TLRs genes with the response to treatment of ENL with thalidomide and prednisone. A total of 162 ENL patients were recruited from different regions of Brazil and clinical information was collected from their medical records. Genomic DNA was isolated from blood and saliva samples and genetic variants in TLR1 (rs4833095), TLR2 (rs3804099), TLR4 (rs1927914), and TLR6 (rs5743810) genes were genotyped by TaqMan real-time PCR system. In order to evaluate the variants' association with the dose of the medications used during the treatment, we applied the Generalized Estimating Equations (GEE) analysis. In the present sample, 123 (75.9%) patients were men and 86 (53.1%) were in treatment for leprosy during the ENL episode. We found an association between polymorphisms in TLR1/rs4833095, TLR2/rs3804099, TLR4/rs1927914, and TLR6/rs5783810 with the dose variation of thalidomide in a time-dependent manner, i.e., the association with the genetic variant and the dose of the drug was different depending on the moment of the treatment evaluated. In addition, we identified that the association of polymorphisms in TLR1/rs4833095, TLR2/rs3804099, and TLR6/rs5783810 with the dose variation of prednisone also were time-dependent. Despite these associations, in all the interactions found, the influence of genetic variants on dose variation was not clinically relevant for therapeutic changes. The results obtained in this study show that TLRs polymorphism might play a role in the response to ENL treatment, however, in this context, they could not be considered as useful biomarkers in the clinical setting due small differences in medication doses. A larger sample size with patients with a more genetic profile is fundamental in order to estimate the association of genetic variants with the treatment of ENL and their clinical significance.
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Affiliation(s)
- Miriãn Ferrão Maciel-Fiuza
- Postgraduate Program in Genetics and Molecular Biology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Instituto Nacional de Genética Médica Populacional, Porto Alegre, Brazil
- Genomics Medicine Laboratory, Center of Experimental Research, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
- Laboratory of Immunobiology and Immunogenetics, Postgraduate Program in Genetics and Molecular Biology, Department of Genetics, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | | | - Thayne Woycinck Kowalski
- Postgraduate Program in Genetics and Molecular Biology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Instituto Nacional de Genética Médica Populacional, Porto Alegre, Brazil
- Genomics Medicine Laboratory, Center of Experimental Research, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
- Laboratory of Immunobiology and Immunogenetics, Postgraduate Program in Genetics and Molecular Biology, Department of Genetics, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Lavínia Schuler-Faccini
- Postgraduate Program in Genetics and Molecular Biology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Instituto Nacional de Genética Médica Populacional, Porto Alegre, Brazil
- Teratogen Information Service, Medical Genetics Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Renan Rangel Bonamigo
- Post-graduate Program in Pathology, Universidade Federal De Ciências Da Saúde de Porto Alegre, Porto Alegre, Brazil
- Dermatology Service of Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
- Postgraduate Program in Medicine, Medical Sciences, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Rodrigo Vetoratto
- Dermatology Service of Santa Casa Hospital of Porto Alegre, Porto Alegre, Brazil
| | - Letícia Maria Eidt
- Sanitary Dermatology Clinic, Secretaria De Saúde Do Estado Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Paulo Cezar de Moraes
- Postgraduate Program in Medicine, Medical Sciences, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Sanitary Dermatology Clinic, Secretaria De Saúde Do Estado Do Rio Grande Do Sul, Porto Alegre, Brazil
| | | | - Luis Marcelo Aranha Camargo
- National Reference Center for Health Dermatology Dona Libania, Fortaleza, Brazil
- Center for Research in Tropical Medicine, Porto Velho, Rondonia, Brazil
- National Institute of Science and Technology-EpiAmo, Rondonia, Brazil
- Department of Medicine, Centro Universitario São Lucas, Porto Velho, Rondônia, Brazil
- National Institute of Science and Technology/CNPq-EpiAmo, Rondonia, Brazil
| | - Sidia Maria Callegari-Jacques
- Postgraduate Program in Genetics and Molecular Biology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Postgraduate Program in Medicine, Medical Sciences, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Department of Statistics, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Stela Maris de Jezus Castro
- Department of Statistics, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Postgraduate Program in Epidemiology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Fernanda Sales Luiz Vianna
- Postgraduate Program in Genetics and Molecular Biology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Instituto Nacional de Genética Médica Populacional, Porto Alegre, Brazil
- Genomics Medicine Laboratory, Center of Experimental Research, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
- Laboratory of Immunobiology and Immunogenetics, Postgraduate Program in Genetics and Molecular Biology, Department of Genetics, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
- Postgraduate Program in Medicine, Medical Sciences, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
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Moraes PCD, Eidt LM, Koehler A, Pagani DM, Scroferneker ML. Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil. Rev Inst Med Trop Sao Paulo 2021; 63:e80. [PMID: 34878038 PMCID: PMC8660027 DOI: 10.1590/s1678-9946202163080] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 09/20/2021] [Indexed: 11/22/2022] Open
Abstract
Leprosy is an infectious and contagious disease affecting skin and nerves. The number of cases in individuals under 15 years old is one of the parameters used in Brazil as an indicator of endemic permanence of the disease and its continuous transmission. Rio Grande do Sul State, in Southern Brazil, is low-endemic to leprosy. However, the disease remains a public health problem. This is a retrospective, observational and analytical study of a historical series of new cases of leprosy in children under 15 years old diagnosed in the period from 2000 to 2019, in all health units in Rio Grande do Sul State. Seventy-seven new cases were notified. The male gender was predominant in 53.2% of the cases (n=41). The average age was 10.4 years (standard deviation of 2.9), with predominance of the age group between 10 and 15 incomplete years old. The most frequent operational classification was multibacillary, in 62.3% of cases (n=48), and the most common clinical form was borderline, in 38.9% of cases (n=28). The predominant disability degree in the sample was grade zero, in 80.0% of the cases (n=60), but in 4.0% (n=3) the grade assessed was 2. In 54.0% of cases (n=27), bacilloscopy was performed, with positive results in 36.0% (n=9) of the exams. Multibacillary cases, with physical disability and/or positive bacilloscopy, draws attention that that the diagnosis is frequently not made in early stages.
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Affiliation(s)
- Paulo Cezar de Moraes
- Secretaria Estadual de Saúde do Rio Grande do Sul, Ambulatório de Dermatologia Sanitária de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.,Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Medicina: Ciências Médicas, Porto Alegre, Rio Grande do Sul, Brazil
| | - Letícia Maria Eidt
- Secretaria Estadual de Saúde do Rio Grande do Sul, Ambulatório de Dermatologia Sanitária de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
| | - Alessandra Koehler
- Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Medicina: Ciências Médicas, Porto Alegre, Rio Grande do Sul, Brazil
| | - Danielle Machado Pagani
- Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Microbiologia Agrícola e do Ambiente, Porto Alegre, Rio Grande do Sul, Brazil
| | - Maria Lúcia Scroferneker
- Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Medicina: Ciências Médicas, Porto Alegre, Rio Grande do Sul, Brazil.,Universidade Federal do Rio Grande do Sul, Departamento de Microbiologia, Imunologia e Parasitologia, Porto Alegre, Rio Grande do Sul, Brazil
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4
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Bauer A, Eidt LM, Bonamigo RR, Heck R. Histoid leprosy - a rare clinical presentation. An Bras Dermatol 2021; 96:598-601. [PMID: 34325921 PMCID: PMC8441472 DOI: 10.1016/j.abd.2021.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 01/29/2021] [Accepted: 02/07/2021] [Indexed: 11/29/2022] Open
Abstract
Histoid leprosy is considered a rare form of lepromatous leprosy. Its peculiar clinical picture makes its diagnosis a challenging one, which can delay starting treatment and perpetuate the disease as endemic. In addition to representing a reservoir of bacilli, and being an important means of contamination, these patients have greater resistance to standard treatment. This is a report of a typical case of this rare presentation, aiming to share the knowledge and favor earlier diagnosis of the disease.
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Affiliation(s)
- Angélica Bauer
- Sanitary Dermatology Outpatient Clinic, Health Department of Rio Grande do Sul State, Porto Alegre, RS, Brazil..
| | - Letícia Maria Eidt
- Sanitary Dermatology Outpatient Clinic, Health Department of Rio Grande do Sul State, Porto Alegre, RS, Brazil
| | - Renan Rangel Bonamigo
- Sanitary Dermatology Outpatient Clinic, Health Department of Rio Grande do Sul State, Porto Alegre, RS, Brazil.; Faculty of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Renata Heck
- Sanitary Dermatology Outpatient Clinic, Health Department of Rio Grande do Sul State, Porto Alegre, RS, Brazil
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Vettorato R, Heidrich D, Eidt LM, Pagani DM, Ribeiro AC, Dallé da Rosa P, Vettorato G, Amaro TG, Scroferneker ML. Onychomycosis caused by Arthrinium arundinis in leprosy patient: Case report. Med Mycol Case Rep 2020; 30:19-21. [PMID: 33024655 PMCID: PMC7527612 DOI: 10.1016/j.mmcr.2020.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Revised: 08/31/2020] [Accepted: 09/07/2020] [Indexed: 12/02/2022] Open
Abstract
We report a case of a 56-year-old Brazilian woman, with relapsing lepromatous leprosy, and onychomycosis caused by a non-dermatophyte filamentous fungi. The pathogenic fungi was identified as Arthrinium arundinis and treated with chemical abrasion of the nail with 40% urea and application of terbinafine cream. Onychomycosis caused by Arthrinium species is rare, and this is the second reported case.
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Affiliation(s)
- Rodrigo Vettorato
- Postgraduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, 2nd floor, Porto Alegre, CEP: 90035-003, Brazil.,Dermatology Service of Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre, Rua Professor Annes Dias - 135, Porto Alegre, CEP: 90020-090, Brazil
| | - Daiane Heidrich
- Postgraduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, 2nd floor, Porto Alegre, CEP: 90035-003, Brazil
| | - Letícia Maria Eidt
- Ambulatory of Sanitary Dermatology of Porto Alegre, Av. João Pessoa, 1327, Porto Alegre, CEP: 90040-001, Brazil
| | - Danielle Machado Pagani
- Postgraduate Program in Agricultural and Environmental Microbiology, ICBS, Universidade Federal do Rio Grande do Sul, Rua Sarmento Leite, 500 - 210, Porto Alegre, CEP: 90050170, Brazil
| | - Amanda Carvalho Ribeiro
- Department of Microbiology, ICBS, Universidade Federal do Rio Grande do Sul, Rua Sarmento Leite, 500, Porto Alegre, CEP: 90050-170, Brazil
| | - Priscila Dallé da Rosa
- Postgraduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, 2nd floor, Porto Alegre, CEP: 90035-003, Brazil
| | - Gerson Vettorato
- Dermatology Service of Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre, Rua Professor Annes Dias - 135, Porto Alegre, CEP: 90020-090, Brazil
| | - Taís Guarienti Amaro
- Dermatology Service of Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre, Rua Professor Annes Dias - 135, Porto Alegre, CEP: 90020-090, Brazil
| | - Maria Lúcia Scroferneker
- Postgraduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, 2nd floor, Porto Alegre, CEP: 90035-003, Brazil.,Department of Microbiology, ICBS, Universidade Federal do Rio Grande do Sul, Rua Sarmento Leite, 500, Porto Alegre, CEP: 90050-170, Brazil
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Dantas LDP, Bakos L, Balbinot G, Drechsler CER, Eidt LM. Prevalence of dermatoses in dermatologic evaluation requests from patients admitted to a tertiary hospital for 10 years. An Bras Dermatol 2016; 90:762-4. [PMID: 26560228 PMCID: PMC4631248 DOI: 10.1590/abd1806-4841.20153664] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2014] [Accepted: 09/05/2014] [Indexed: 11/25/2022] Open
Abstract
Skin diseases are common in hospitalized patients. However, there is a lack of data
concerning their frequency. The objective of this study is to evaluate the prevalence
of dermatological diagnoses in hospitalized patients after consultation requested by
nondermatologist physicians to the Department of Dermatology, Hospital de Clinicas de
Porto Alegre period of 10 years. A total of 5685 patients were evaluated,
representing an average of 48.2 patients per month. The five most frequent groups
were infectious dermatoses(33.25%), eczematous dermatoses (11.49%), drug reactions
(11.43%), vascular dermatoses (6.81%) and group of pruritus, prurigo nodularis and
urticaria (hives) (4.71%).
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Affiliation(s)
| | - Lucio Bakos
- Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | | | - Letícia Maria Eidt
- Health Department of the state of Rio Grande do Sul, Porto Alegre, RS, Brazil
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Gelatti LC, Bonamigo RR, Becker AP, Eidt LM, Ganassini L, d' Azevedo PA. Phenotypic, molecular and antimicrobial susceptibility assessment in isolates from chronic ulcers of cured leprosy patients: a case study in Southern Brazil. An Bras Dermatol 2014; 89:404-8. [PMID: 24937812 PMCID: PMC4056696 DOI: 10.1590/abd1806-4841.20142688] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2013] [Accepted: 06/20/2013] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND One of the most stigmatizing physical sequelaeof leprosy in cured patients
is the development of chronic lower extremity ulcers. The bacterial
diversity present in ulcers is considered one of the factors that can delay
the healing process, as well as serve as a focus for severe secondary
infections. OBJECTIVE To identify the microbiota and antimicrobial resistance profile of bacteria
isolated from skin ulcers in patients cured of leprosy. METHODS After obtaining informed consent, material was collected from ulcers of 16
patients treated at the Outpatient Public Health Dermatology Clinic of Rio
Grande do Sul and Hospital Colônia Itapuã. Sampleswere
collected during dressing, and the material sent to the Microbiology
Laboratory of the Federal University of Health Sciences of Porto Alegre for
microbiological culture. Methicillin-resistant Staphylococcus aureus
(MRSA) was characterized by two molecular methods, including
detection of the mecA gene by PCR and SCCmecgene typing. RESULTS Cultures revealed microorganisms in all ulcers: Gram-negative bacilli in
80%, Gram-positive cocci in 63%, and mixed microflora in 36%.
Staphylococcus aureus and Pseudomonas aeruginosa were
the most prevalent bacteria. Assessment of the antimicrobial resistance
profile was notable for the presence of MRSA. Molecular analysis of this
isolate revealed presence of the mecA gene contained in a type IV
staphylococcal cassette chromosome mec (SCCmec). CONCLUSIONS In patients with leprosy, laboratory culture of skin ulcers is essential for
correct antibiotic selection and to control emerging pathogens, such as MRSA
carrying SCCmec type IV.
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Affiliation(s)
| | | | | | - Letícia Maria Eidt
- Ambulatório de Dermatologia Sanitária, Secretaria Estadual de Saúde do Rio Grande do Sul, Porto Alegre, RS, Brazil
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Eidt LM. Breve história da hanseníase: sua expansão do mundo para as Américas, o Brasil e o Rio Grande do Sul e sua trajetória na saúde pública brasileira. Saude soc 2004. [DOI: 10.1590/s0104-12902004000200008] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Este trabalho faz uma revisão sobre a história da hanseníase através dos tempos, desde sua provável origem na Antigüidade até a sua vinda para as Américas, o Brasil e o Rio Grande do Sul. Relata, também, a evolução das políticas de saúde pública brasileiras adotadas para o seu controle e descreve algumas atitudes da sociedade para com os doentes de hanseníase no passado. Este retrospecto histórico contribui para o conhecimento da doença, para a detecção de fatores predisponentes do binômio saúde-doença e auxilia na compreensão dos sentimentos dos pacientes com relação a sua doença na atualidade.
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