Canteros CE, Toranzo A, Ibarra-Camou B, David V, Carrizo SG, Santillán-Iturres A, Serrano J, Fernández N, Capece P, Gorostiaga J, Chacón YA, Tonelli R, Boscaro G, Abiega C, Mendieta S, Fernández C, Fernández A, Vitale R, Santos P, Pizarro MR, López-Joffre MC, Lee W, Mazza M, Posse G, Tiraboschi IN, Negroni R, Davel G. [Coccidioidomycosis in Argentina, 1892-2009].
Rev Argent Microbiol 2011;
42:261-8. [PMID:
21229194 DOI:
10.1590/s0325-75412010000400004]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2010] [Accepted: 10/12/2010] [Indexed: 11/21/2022] Open
Abstract
Clinical cases of coccidioidomycosis are rare in Argentina and are generally found in the large arid precordilleran area of the country. This study aims to perform a retrospective review of all coccidioidomycosis cases documented in the country from 1892 to 2009, and to describe those occurring in the last 4 years. One hundred and twenty eight cases were documented in the 117 year-period. Since the original description of the disease in 1892 until 1939, only 6 cases were registered; between 1940 and 1999, 59 (6-14/10 yrs) and the remaining 63 (49% of total cases) occurred in the last decade. The median age of 34 patients registered in 2006-2009 was 31 years (range: 7-89), male/female ratio was 1.3:1 and 12 patients were immunocompromised. Twenty-six cases were confirmed by direct microscopy and/or culture whereas the remaining ones by serology. All isolates were identified as Coccidioides posadasii. Thirty patients lived in a vast geographic region with epicenter in Catamarca Valley. Between 2006 and 2009, annual disease incidence rates in Catamarca Province increased from historical values below 0.5/100,000 to 2/100,000 inhabitants. Such increase suggests an emergency of coccidioidomycosis in that region.
Collapse