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Baeza-Hernández G, Rubio-Aguilera RF, Esteban-Garrido E, Vallejo-Ruiz MDLS, Guerrero-Torija A, Garrido-Ríos AA, Córdoba S, Borbujo J. Precious Contactants: A Case of Professional Allergic Contact Dermatitis in a Jeweler. Dermatitis 2023; 34:56-57. [PMID: 36705659 DOI: 10.1089/derm.0000000000000917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
| | | | | | | | | | | | - Susana Córdoba
- From the Dermatology Department, Hospital Universitario de Fuenlabrada, Madrid. Spain
| | - Jesús Borbujo
- From the Dermatology Department, Hospital Universitario de Fuenlabrada, Madrid. Spain
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Baeza-Hernández G, Rubio-Aguilera RF, Esteban-Garrido E, Vallejo-Ruiz MDLS, Guerrero-Torija A, Garrido-Ríos AA, Córdoba S, Borbujo J. Precious Contactants: A Case of Professional Allergic Contact Dermatitis in a Jeweler. Dermatitis 2022; Publish Ahead of Print:01206501-990000000-00035. [PMID: 35767739 DOI: 10.1097/der.0000000000000917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Carnovale S, Epelbaum C, Abrantes R, Córdoba S, Cabrera C, Caracciolo B. Scedosporium aurantiacum: First isolation in Argentina from a previously healthy patient after traumatic inoculation. Rev Argent Microbiol 2022; 54:318-321. [DOI: 10.1016/j.ram.2022.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 10/08/2021] [Accepted: 02/23/2022] [Indexed: 10/18/2022] Open
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Engel O, Córdoba S, Arroyo M, Rodriguez N, Fernando J, de la Fuente C, Zapata I, Velasco J, Gil B, López M, Benlloch R, Hernandez M. PO-0189 The second planning-CT in a two daily fractions implant can be omitted in cervical cancer IGABT. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06348-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Córdoba S, Abiega C, Agorio I, Amigot S, Ardizzoli K, Giusiano G, Guelfand L, López Moral L, Maldonado I, Pineda G, Garcia-Effron G. [Usefulness of the Sensititre YeastOne® panel to detect Candida species resistant to antifungal drugs]. Rev Argent Microbiol 2021; 54:9-14. [PMID: 33875292 DOI: 10.1016/j.ram.2021.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 11/28/2020] [Accepted: 02/12/2021] [Indexed: 10/21/2022] Open
Abstract
We evaluated the interlaboratory agreement, the essential agreement, and the categorical agreement between the Sensititre YeastOneTM panel and the reference methods M27 4th Edition of the Clinical and Laboratory Standards Institute (CLSI), and the EDef 7.3.1 of the European Committee on Antifungal Susceptibility Testing (EUCAST). We studied 67 Candida strains isolated from different clinical samples and 9 Candida strains with resistance to fluconazole and echinocandins. The highest percentage of interlaboratory agreement was observed with amphotericin B (96.8%), and the lowest percentage with voriconazole (77.2%). Caspofungin showed 5.8% of very major errors when compared with the CLSI reference method. For EUCAST, itraconazole, posaconazole, and anidulafungin showed high percentages of major errors: 17.6%, 18.1%, and 19.6%, respectively. Sensititre YeastOneTM is a reliable alternative, and easy to perform for detecting Candida species resistant to antifungal drugs, with some limitations for echinocandins. Results are comparable to those of the reference methods.
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Affiliation(s)
- Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina.
| | - Claudio Abiega
- Sección Microbiología, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
| | - Iris Agorio
- Laboratorio de Microbiología, Servicio de Micología, Hospital Británico, Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Amigot
- Microbiología, Dirección Bioquímica, Centro de Especialidades Médicas Ambulatorias de Rosario (CEMAR), Santa Fe, Argentina
| | - Karina Ardizzoli
- Servicio de Laboratorio, Sector Micología, Hospital Interzonal General de Agudos Dr. R. Rossi, La Plata, Buenos Aires, Argentina
| | - Gustavo Giusiano
- Instituto de Medicina Regional, Universidad Nacional del Nordeste, Consejo Nacional de Investigaciones Científicas y Técnicas de Argentina (CONICET), Resistencia, Chaco, Argentina
| | - Liliana Guelfand
- Servicio Laboratorio de Análisis Clínicos, Sección Microbiología, Hospital General de Agudos Dr. Juan A. Fernández, Ciudad Autónoma de Buenos Aires, Argentina
| | - Laura López Moral
- Sección Microbiología, Servicio Laboratorio Central, Hospital General de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina
| | - Ivana Maldonado
- Microbiología, Laboratorio Central-Hospital Alemán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Gloria Pineda
- Servicio de Microbiología, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina
| | - Guillermo Garcia-Effron
- Laboratorio de Micología y Diagnóstico Molecular, Facultad de Bioquímica y Ciencias Biológicas Universidad Nacional del Litoral, Santa Fe, Argentina
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Córdoba S, Blanco-Calvo M, Huerta-Vena A, Borbujo J. Allergic Contact Dermatitis Due to Slime. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Sánchez-Pujol MJ, Docampo-Simón A, Mercader P, González-Pérez R, Hervella-Garcés M, Sanz-Sánchez T, Córdoba S, Sánchez-Pérez J, Heras-Mendaza F, Giménez-Arnau AM, Gatica-Ortega ME, Pastor-Nieto MA, Zaragoza V, Carrascosa JM, García-Bravo B, Ruiz-González I, Borrego L, Sánchez-Pedreño P, de Frutos JO, Armario-Hita JC, García-Gavín J, Fernández-Redondo V, Serra E, Silvestre JF. Frequency of sensitization to the individual fragrances of fragrance mix I and II according to the factors included in the MOAHLFA index. Contact Dermatitis 2021; 84:395-406. [PMID: 33534191 DOI: 10.1111/cod.13801] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 01/05/2021] [Accepted: 01/30/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Fragrances constitute the second most frequent cause of allergic contact dermatitis in Spain. OBJECTIVES To determine the rate of sensitization to the individual fragrances of fragrance mix (FM) I and FM II for each of the demographic and clinical factors included in the MOAHLFA (male, occupational dermatitis, atopic dermatitis, hand dermatitis, leg dermatitis, facial dermatitis, age) index. METHODS We conducted a 5-year retrospective study in 23 Spanish centres. We identified the patients who had undergone patch testing with a specific fragrance series after reacting positively to fragrance markers in a baseline series. We obtained the MOAHLFA index items in this population, then calculated for each demographic and clinical factor the frequencies of sensitization to the individual fragrances of FM I and FM II. RESULTS A specific fragrance series was patch tested in 1013 patients. The most frequent allergens in men, women, children, and retired people were Evernia prunastri (16%), geraniol (16.6%), isoeugenol (17.9%), and geraniol (22.4%), respectively. Citral (20.5%) and hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC) (14.5%) were the most common allergens in occupational eczemas and were also associated with a large proportion of hand and facial dermatitis. CONCLUSIONS Frequency of sensitization to the individual fragrances of FM I and FM II varies with age, sex, affected body region, and history of occupational or atopic dermatitis.
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Affiliation(s)
- María J Sánchez-Pujol
- Department of Dermatology, Hospital General Universitario de Alicante-ISABIAL, Alicante, Spain
| | - Alexandre Docampo-Simón
- Department of Dermatology, Hospital General Universitario de Alicante-ISABIAL, Alicante, Spain
| | - Pedro Mercader
- Department of Dermatology, Hospital General Universitario Jose M Morales Meseguer, Murcia, Spain
| | | | | | | | - Susana Córdoba
- Department of Dermatology, Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain
| | | | | | - Ana M Giménez-Arnau
- Department of Dermatology, Hospital del Mar, Universitat Autònoma Barcelona, Barcelona, Spain
| | | | - María A Pastor-Nieto
- Department of Dermatology, Hospital Universitario de Guadalajara, Guadalajara, Spain
| | - Violeta Zaragoza
- Department of Dermatology, Consorci Hospital Universitari de Valencia, Valencia, Spain
| | - José M Carrascosa
- Department of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - Begoña García-Bravo
- Department of Dermatology, Hospital Universitario Virgen de la Macarena, Sevilla, Spain
| | | | - Leopoldo Borrego
- Department of Dermatology, Hospital Universitario Insular de Gran Canaria, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain
| | | | - Javier O de Frutos
- Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - José C Armario-Hita
- Department of Dermatology, Hospital Universitario de Puerto Real, Cádiz, Spain
| | - Juan García-Gavín
- Department of Dermatology, Complejo Hospitalario Universitario de Vigo, Vigo, Spain
| | - Virginia Fernández-Redondo
- Department of Dermatology, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, Spain
| | - Esther Serra
- Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - Juan F Silvestre
- Department of Dermatology, Hospital General Universitario de Alicante-ISABIAL, Alicante, Spain
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Abrantes RA, Refojo N, Hevia AI, Fernández J, Isla G, Córdoba S, Dávalos MF, Lubovich S, Maldonado I, Davel GO, Stchigel AM. Scedosporium spp. from Clinical Setting in Argentina, with the Proposal of the New Pathogenic Species Scedosporium americanum. J Fungi (Basel) 2021; 7:jof7030160. [PMID: 33668188 PMCID: PMC7995985 DOI: 10.3390/jof7030160] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 01/12/2021] [Revised: 02/07/2021] [Accepted: 02/11/2021] [Indexed: 01/06/2023] Open
Abstract
Species of the genus Scedosporium (family Microascaceae, phylum Ascomycota) are responsible for a wide range of opportunistic human infections, and have a low susceptibility to most antifungal drugs. It is well known that the pattern of Scedosporium species distribution varies according to geographic region. To assess the diversity of Scedosporium species in Argentina involved in human infections, we carried out a retrospective study reviewing 49 strains from clinical samples sent for diagnosis to the National Clinical Mycology Reference Laboratory between 1985 and 2019. Then, a phenotypic characterization, a phylogenetic study and and in vitro susceptibility test to antifungals were carried out. An analysis of combined nucleotide sequences dataset of the internal transcribed spacer of the ribosomal DNA (ITS) and of a fragment of the β-tubulin gene (BT2) demonstrated that 92% of the strains belonged to the species S. boydii, S. apiospermum and S. angustum, all them pertaining to S. apiospermum species complex. However, two strains (4%) were identified as S. aurantiacum, a species never reported in clinical settings in the Americas’. Surprisingly, one of them displayed a polycytella-like conidiogenesis, up to date only reported for S. apiospermum. In addition, the strain DMic 165285 was phylogenetically located far away from the rest of the species, so is proposed as the novel species Scedosporium americanum. On the other hand, from all seven antifungals tested, voriconazole and posaconazole were the most active drugs against Scedosporium spp.
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Affiliation(s)
- Ruben A. Abrantes
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud ‘Dr. C. G. Malbrán’, C1282 AFF Buenos Aires, Argentina; (N.R.); (A.I.H.); (J.F.); (G.I.); (S.C.); (G.O.D.)
- Correspondence: ; Tel.: +54-011-4302-5066 (ext. 40)
| | - Nicolás Refojo
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud ‘Dr. C. G. Malbrán’, C1282 AFF Buenos Aires, Argentina; (N.R.); (A.I.H.); (J.F.); (G.I.); (S.C.); (G.O.D.)
| | - Alejandra I. Hevia
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud ‘Dr. C. G. Malbrán’, C1282 AFF Buenos Aires, Argentina; (N.R.); (A.I.H.); (J.F.); (G.I.); (S.C.); (G.O.D.)
| | - Julián Fernández
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud ‘Dr. C. G. Malbrán’, C1282 AFF Buenos Aires, Argentina; (N.R.); (A.I.H.); (J.F.); (G.I.); (S.C.); (G.O.D.)
| | - Guillermina Isla
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud ‘Dr. C. G. Malbrán’, C1282 AFF Buenos Aires, Argentina; (N.R.); (A.I.H.); (J.F.); (G.I.); (S.C.); (G.O.D.)
| | - Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud ‘Dr. C. G. Malbrán’, C1282 AFF Buenos Aires, Argentina; (N.R.); (A.I.H.); (J.F.); (G.I.); (S.C.); (G.O.D.)
| | - María F. Dávalos
- Hospital San Bernardo de la provincia de Salta, A4400 Salta, Argentina;
| | - Silvina Lubovich
- Hospital Italiano de Buenos Aires, C1199 CABA Buenos Aires, Argentina;
| | - Ivana Maldonado
- Hospital Alemán de Buenos Aires, C1118 AAT Buenos Aires, Argentina;
| | - Graciela O. Davel
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud ‘Dr. C. G. Malbrán’, C1282 AFF Buenos Aires, Argentina; (N.R.); (A.I.H.); (J.F.); (G.I.); (S.C.); (G.O.D.)
| | - Alberto M. Stchigel
- Mycology Unit, Faculty of Medicine and IISPV, Universitat Rovira i Virgili, 43201 Reus, Spain;
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Poveda-Montoyo I, García-Doval I, Descalzo MA, Betlloch-Mas I, Miquel-Miquel FJ, Serrano-Manzano M, Martín-Delgado MI, Sanz-Sánchez T, Knöpfel N, Córdoba S, Luca de Tena A, Martín-Santiago A, Silvestre JF. Quality Indicators in Care of Patients With Atopic Dermatitis: Consensus Document of the Spanish Academy of Dermatology and Venereology. Actas Dermosifiliogr (Engl Ed) 2020; 111:567-573. [PMID: 32401727 DOI: 10.1016/j.ad.2019.06.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 02/23/2019] [Revised: 05/08/2019] [Accepted: 06/19/2019] [Indexed: 11/23/2022] Open
Abstract
No information is currently available on whether the available clinical practice guidelines on the management of atopic dermatitis are known or being applied in Spain. The aim of this study was to improve the care of patients with atopic dermatitis by developing a set of quality indicators based on existing clinical practice guidelines. Relevant clinical practice guidelines identified through a literature search were submitted to a panel of 11 specialists, who selected the highest quality guidelines using the AGREE (Appraisal of Guidelines for Research & Evaluation) II instrument. The panel then defined a subset of the recommendations supported by a high level of evidence and proposed a health care quality indicator for each one together with a standard for measuring degree of adherence. Consensus was achieved on 21 of the 150 proposed indicators using the modified Delphi method. The aim of implementing the indicators that achieved consensus in this study is to standardize the actions of health professionals providing care for patients with atopic dermatitis and ultimately to improve the quality of the care delivered.
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Affiliation(s)
- I Poveda-Montoyo
- Servicio de Dermatología, Hospital General Universitario de Alicante, Instituto de Investigación ISABIAL, Alicante, España.
| | - I García-Doval
- Unidad de Investigación, Fundación Piel Sana de la Academia Española de Dermatología y Venereología, Madrid, España; Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - M A Descalzo
- Unidad de Investigación, Fundación Piel Sana de la Academia Española de Dermatología y Venereología, Madrid, España
| | - I Betlloch-Mas
- Servicio de Dermatología, Hospital General Universitario de Alicante, Instituto de Investigación ISABIAL, Alicante, España
| | - F J Miquel-Miquel
- Servicio de Dermatología, Hospital Arnau de Vilanova, Valencia, España
| | - M Serrano-Manzano
- Área de Atención Primaria, Equipo de Atención Primaria Martorell Rural, Masquefa, Barcelona, España
| | - M I Martín-Delgado
- Área de Pediatría de Atención Primaria, Centro de Salud Santa Ponsa, Santa Ponsa, Islas Baleares, España
| | - T Sanz-Sánchez
- Servicio de Dermatología, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España
| | - N Knöpfel
- Servicio de Dermatología, Hospital Niño Jesús, Madrid, España; Servicio de Dermatología Pediátrica, Hospital Infantil Universitario de Zúrich, Zúrich, Suiza
| | - S Córdoba
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
| | - A Luca de Tena
- Representante de la Asociación de Afectados por la Dermatitis Atópica
| | - A Martín-Santiago
- Servicio de Dermatología, Hospital Universitario Son Espases, Palma, Islas Baleares, España
| | - J F Silvestre
- Servicio de Dermatología, Hospital General Universitario de Alicante, Instituto de Investigación ISABIAL, Alicante, España
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Poveda-Montoyo I, García-Doval I, Descalzo M, Betlloch-Mas I, Miquel-Miquel F, Serrano-Manzano M, Martín-Delgado M, Sanz-Sánchez T, Knöpfel N, Córdoba S, Luca de Tena A, Martín-Santiago A, Silvestre J. Quality Indicators in Care of Patients With Atopic Dermatitis: Consensus Document of the Spanish Academy of Dermatology and Venereology. Actas Dermo-Sifiliográficas (English Edition) 2020. [DOI: 10.1016/j.adengl.2019.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Pena Amaya P, Flores A, Christmann A, Detoni D, Drelichman G, Soberón B, Fernández Escobar N, Córdoba S, Vazquez M. [Phaeohyphomycosis by Exserohilum rostratum in a pediatric patient with acute lymphoblastic leukemia after bone marrow transplantation]. Rev Argent Microbiol 2019; 52:195-197. [PMID: 31870615 DOI: 10.1016/j.ram.2019.11.002] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 10/07/2019] [Accepted: 11/01/2019] [Indexed: 10/25/2022] Open
Abstract
The genus Exserohilum consists of dematiaceous or darkly pigmented fungi. Most of the species included in this genus are phytopathogens, saprobes and only three of these species would be pathogenic to humans: Exserohilumrostratum, Exserohilumlongirostratum and Exserohilummcginnisii. Localized and systemic infections have been reported both in immunocompetent and immunosuppressed patients. A clinical case of cutaneous infection by E. rostratum in an immunocompromised pediatric patient is presented in this study.'
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Affiliation(s)
- Paula Pena Amaya
- Servicio de Microbiología, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina.
| | - Antonio Flores
- Servicio de Microbiología, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina
| | - Analía Christmann
- Unidad de Transplante de Médula Ósea, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina
| | - Débora Detoni
- Unidad de Transplante de Médula Ósea, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina
| | - Guillermo Drelichman
- Unidad de Transplante de Médula Ósea, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina
| | - Bárbara Soberón
- Unidad de Transplante de Médula Ósea, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina
| | - Nicolás Fernández Escobar
- Unidad de Transplante de Médula Ósea, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Córdoba
- INEIA-ANLIS «Carlos G. Malbrán», Ciudad Autónoma de Buenos Aires, Argentina
| | - Miryam Vazquez
- Servicio de Microbiología, Hospital de Niños «Ricardo Gutiérrez», Ciudad Autónoma de Buenos Aires, Argentina
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Córdoba S, Vivot W, Szusz W, Albo G. Antifungal Activity of Essential Oils Against Candida Species Isolated from Clinical Samples. Mycopathologia 2019; 184:615-623. [PMID: 31359292 DOI: 10.1007/s11046-019-00364-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Accepted: 07/18/2019] [Indexed: 12/30/2022]
Abstract
We evaluated the in vitro antifungal activity of essential oils obtained from the aromatic plants Laurus nobilis, Thymus vulgaris, Mentha piperita, Cymbopogon citratus and Lippia junelliana against the following Candida species isolated from clinical samples: C. krusei (n = 10); C. albicans (n = 50); C. glabrata (n = 70) and C. parapsilosis (n = 80). The minimal inhibitory concentration (MIC) was determined according to EDef 7.3.1 document from EUCAST. Amphotericin B and fluconazole were the antifungal drugs used as inhibition control. The concentration ranges evaluated were 0.4-800 and 0.03-128 mg l-1 for essential oils and antifungal drugs, respectively. MIC50 and MIC90, mode and ranges were calculated. All the Candida spp. evaluated were susceptible to amphotericin B (MIC ≤ 1 mg l-1), while fluconazole was inactive for C. krusei (MIC ≥ 32 mg l-1) and intermediate for C. glabrata (MIC≤ 32 mg l-1). The essential oils showed antifungal activity on Candida spp. tested with MIC90 values ranging from 0.8 to 800 mg l-1. In general, the most active essential oils were L. nobilis and T. vulgaris (MIC90 0.8-0.16 mg l-1), and the least active was C. officinalis (MIC90 400-800 mg l-1). C. krusei was inhibited by 5/6 of the essential oils evaluated, and C. glabrata was the least susceptible one. This in vitro study confirms the antifungal activity of these six essential oils assayed which could be a potential source of new molecules useful to control fungal infections caused by some Candida species, including those resistant to antifungal drugs.
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Affiliation(s)
- S Córdoba
- Departamento Micología, INEI ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, CP 1281, Buenos Aires, Argentina. .,Cátedra Micología Médica e Industrial, Universidad Nacional de La Plata, Calle 60 y 119. La Plata, CP 1900, Buenos Aires, Argentina.
| | - W Vivot
- Departamento Micología, INEI ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, CP 1281, Buenos Aires, Argentina
| | - W Szusz
- Departamento Micología, INEI ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, CP 1281, Buenos Aires, Argentina
| | - G Albo
- Facultad de Ciencias Agrarias y Forestales, Universidad Nacional de La Plata, Calle 60 y 119. La Plata, CP 1900, Buenos Aires, Argentina
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Company-Quiroga J, Alique-García S, Martínez-Morán C, Córdoba S, Borbujo J. Reply to: “Comment on ‘Skin stripping technique: A diagnostic clue for fiberglass dermatitis’”. J Am Acad Dermatol 2019; 80:e159. [DOI: 10.1016/j.jaad.2018.12.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 12/13/2018] [Indexed: 10/27/2022]
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Taverna CG, Córdoba S, Vivot M, Szusz W, Vivot W, Bosco-Borgeat ME, Davel G. Reidentification and antifungal susceptibility profile of Candida guilliermondii and Candida famata clinical isolates from a culture collection in Argentina. Med Mycol 2019; 57:314-323. [PMID: 29955881 DOI: 10.1093/mmy/myy038] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 03/21/2018] [Accepted: 05/15/2018] [Indexed: 01/17/2023] Open
Abstract
The aim of this work was to reidentify strains previously identified as Candida guilliermondii and Candida famata by conventional phenotypic methods conserved in a culture collection from Argentina using ribosomal DNA sequencing, ACT1 gene sequencing, and matrix-assisted laser desorption ionization - time of flight mass spectrometry (MALDI-TOF MS). In addition, we performed antifungal susceptibility tests of eight antifungal drugs commonly used in clinical treatment. We identified 68 isolates belonging to the Candida guilliermondii species complex (59 C. guilliermondii, 8 C. fermentati, and 1 Candida carpophila), 16 isolates belonging to the Candida famata species complex (8 C. famata, 6 Debaryomyces nepalensis, 1 Debaryomyces fabryi, and 1 Debaryomyces tyrocola). Although sequencing of ITS region was able to identify C. guilliermondii and D. nepalensis isolates, sequencing of ACT1 gene seems to be the most appropriate technique for differentiation between C. fermentati and C. carpophila and between members of the C. famata species complex others than D. nepalensis. MALDI-TOF MS has a good potential for the identification of these yeasts, particularly in clinical laboratories since is a rapid and easy to perform technique. Here, we report the first isolation of D. tyrocola from a human patient and the first isolation of D. nepalensis from lungs and blood of human patients. Finally, correct identification and determination of antifungal susceptibility of those closely related species could be a useful tool for clinicians to choose the most effective antifungal treatment.
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Affiliation(s)
- Constanza Giselle Taverna
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán," Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán," Ciudad Autónoma de Buenos Aires, Argentina
| | - Matías Vivot
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán," Ciudad Autónoma de Buenos Aires, Argentina
| | - Wanda Szusz
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán," Ciudad Autónoma de Buenos Aires, Argentina
| | - Walter Vivot
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán," Ciudad Autónoma de Buenos Aires, Argentina
| | - María Eugenia Bosco-Borgeat
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán," Ciudad Autónoma de Buenos Aires, Argentina
| | - Graciela Davel
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán," Ciudad Autónoma de Buenos Aires, Argentina
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Berejnoi A, Taverna CG, Mazza M, Vivot M, Isla G, Córdoba S, Davel G. First case report of cryptococcosis due to Cryptococcus decagattii in a pediatric patient in Argentina. Rev Soc Bras Med Trop 2019; 52:e20180419. [PMID: 30942260 DOI: 10.1590/0037-8682-0419-2018] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Accepted: 12/17/2018] [Indexed: 12/23/2022] Open
Abstract
We report the first case of cryptococcosis due to Cryptococcus decagattii in an immunocompetent pediatric patient from an indigenous community in Argentina with a successful outcome. Two isolates (blood, cerebrospinal fluid) were genotyped by restriction fragment length polymorphism of the orotidine monophosphate pyrophosphorylase (URA5) gene as VGIV and identified by multi-locus sequence typing as C. decagattii. Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification indicated genotype VGIII. The minimum inhibitory concentration of amphotericin B, fluconazole, itraconazole, and voriconazole was determined (cerebrospinal fluid: 0.25, 16, 0.12, and 0.12, blood: 0.25, 4, 0.12, and 0.06, respectively, all in mg/L).
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Affiliation(s)
- Ana Berejnoi
- Hospital Público Materno Infantil, Salta, Argentina
| | - Constanza Giselle Taverna
- Departamento Micología, INEI (Instituto Nacional de Enfermedades Infecciosas) "Dr. Carlos G. Malbrán", ANLIS (Administración Nacional de Laboratorios e Institutos de Salud), Ciudad Autónoma de Buenos Aires, Argentina
| | - Mariana Mazza
- Departamento Micología, INEI (Instituto Nacional de Enfermedades Infecciosas) "Dr. Carlos G. Malbrán", ANLIS (Administración Nacional de Laboratorios e Institutos de Salud), Ciudad Autónoma de Buenos Aires, Argentina
| | - Matías Vivot
- Departamento Micología, INEI (Instituto Nacional de Enfermedades Infecciosas) "Dr. Carlos G. Malbrán", ANLIS (Administración Nacional de Laboratorios e Institutos de Salud), Ciudad Autónoma de Buenos Aires, Argentina
| | - Guillermina Isla
- Departamento Micología, INEI (Instituto Nacional de Enfermedades Infecciosas) "Dr. Carlos G. Malbrán", ANLIS (Administración Nacional de Laboratorios e Institutos de Salud), Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Córdoba
- Departamento Micología, INEI (Instituto Nacional de Enfermedades Infecciosas) "Dr. Carlos G. Malbrán", ANLIS (Administración Nacional de Laboratorios e Institutos de Salud), Ciudad Autónoma de Buenos Aires, Argentina
| | - Graciela Davel
- Departamento Micología, INEI (Instituto Nacional de Enfermedades Infecciosas) "Dr. Carlos G. Malbrán", ANLIS (Administración Nacional de Laboratorios e Institutos de Salud), Ciudad Autónoma de Buenos Aires, Argentina
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Alique-García S, Company-Quiroga J, González E, Córdoba S, Garrido-Ríos A, Borbujo J. Protein contact dermatitis caused by flours in a pastry chef. Contact Dermatitis 2019; 80:403-404. [PMID: 30653699 DOI: 10.1111/cod.13218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2018] [Revised: 01/09/2019] [Accepted: 01/12/2019] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Eloina González
- Department of Allergology, Hospital Universitario de Fuenlabrada, Madrid, Spain
| | - Susana Córdoba
- Department of Dermatology, Hospital Universitario de Fuenlabrada, Madrid, Spain
| | | | - Jesús Borbujo
- Department of Dermatology, Hospital Universitario de Fuenlabrada, Madrid, Spain
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Córdoba S, Sanz-Sánchez T, Mohedano-Vicente E, Borbujo J. Dermatitis alérgica de contacto a clorhexidina en dos pacientes pediátricos. Actas Dermo-Sifiliográficas 2019; 110:76-77. [DOI: 10.1016/j.ad.2017.10.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 10/11/2017] [Accepted: 10/14/2017] [Indexed: 11/17/2022] Open
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Silvestre JF, Mercader P, González-Pérez R, Hervella-Garcés M, Sanz-Sánchez T, Córdoba S, Sánchez-Pérez J, Heras-Mendoza F, Giménez-Arnau AM, Gatica-Ortega ME, Pastor-NIeto MA, Zaragoza V, Carrascosa JM, García-Bravo B, Ruiz-González I, Borrego L, Sánchez-Pedreño P, de Frutos JO, Armario-Hita JC, García-Gavín J, Fernández-Redondo V. Sensitization to fragrances in Spain: A 5-year multicentre study (2011-2015). Contact Dermatitis 2018; 80:94-100. [DOI: 10.1111/cod.13152] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Revised: 09/23/2018] [Accepted: 09/27/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Juan F. Silvestre
- Department of Dermatology; Hospital General Universitario de Alicante; Alicante Spain
| | - Pedro Mercader
- Department of Dermatology; Hospital General Universitario Jose M Morales Meseguer; Murcia Spain
| | | | | | | | - Susana Córdoba
- Department of Dermatology; Hospital Universitario de Fuenlabrada; Fuenlabrada Spain
| | | | | | | | | | | | - Violeta Zaragoza
- Department of Dermatology; Consorci Hospital Universitari de Valencia; Valencia Spain
| | - Jose M. Carrascosa
- Department of Dermatology; Hospital Universitari Germans Trias i Pujol; Badalona Spain
| | - Begoña García-Bravo
- Department of Dermatology; Hospital Universitario Virgen de la Macarena; Sevilla Spain
| | | | - Leopoldo Borrego
- Department of Dermatology; Hospital Universitario Insular de Gran Canaria; Las Palmas Spain
| | | | - Javier O. de Frutos
- Department of Dermatology; Hospital Universitario 12 de Octubre; Madrid Spain
| | | | - Juan García-Gavín
- Department of Dermatology; Complejo Hospitalario Universitario de Vigo; Vigo Spain
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Company-Quiroga J, Alique-García S, Esteban-Garrido E, Rojas-Farias FE, Garrido-Ríos AA, Córdoba S, Borbujo J. Skin stripping technique: A diagnostic clue for fiberglass dermatitis. J Am Acad Dermatol 2018; 80:e141-e142. [PMID: 30165172 DOI: 10.1016/j.jaad.2018.08.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 08/12/2018] [Accepted: 08/19/2018] [Indexed: 11/25/2022]
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Scocozza L, Azula N, Córdoba S, Smayevsky J, Relloso M. High level of fluconazol resistance in Candida spp. isolated from vaginal specimens in adults women in a Universitary Hospital in Buenos Aires, Argentina. Int J Infect Dis 2018. [DOI: 10.1016/j.ijid.2018.04.4045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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21
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Moreno MA, Córdoba S, Zampini IC, Mercado MI, Ponessa G, Alberto MR, Nader-Macias MEF, Sayago J, Burgos-Edwards A, Schmeda-Hirschmann G, Isla MI. Tetraglochin andina Ciald.: A medicinal plant from the Argentinean highlands with potential use in vaginal candidiasis. J Ethnopharmacol 2018; 216:283-294. [PMID: 29307753 DOI: 10.1016/j.jep.2018.01.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Revised: 12/29/2017] [Accepted: 01/02/2018] [Indexed: 06/07/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE The Argentinean medicinal plant Tetraglochin andina Ciald, formerly classified as T. cristatum (Britton) Rothm is used in traditional medicine by inhabitants from Argentinean northwestern highlands (Puna) to treat candidiasis and as anti-inflammatory. AIM OF THE STUDY To assess the potential of the crude drug as an anti-Candida agent with anti-inflammatory properties. The bioactivity and phytochemical composition of a dry extract of the plant was investigated. MATERIAL AND METHODS The pharmacognostic description of the crude drug is carried out for the first time, including macroscopic and microscopic examinations of the different organs, physicochemical and extractive values (petroleum ether-, ethanol- and water-soluble). The dry extract from T. andina was evaluated as antifungal against pathogenic Candida sp. and Saccharomyces cerevisiae isolated from vaginal infections and reference strains, by the macrodilution and microdilution assays. The normal vaginal microbiome in women is characterized by the dominance of lactic acid-producing bacteria, mainly Lactobacillus spp. The effect of T. andina extract on Lactobacillus strains was also assayed. The inhibitory effect on proinflammatory enzymes (cyclooxygenase, lipoxygenase and phospholipase A2) and antioxidant capacity was studied. The chemical profile was analyzed by HPLC-ESI-MS. RESULTS The hydroalcoholic extract inhibited the growth of all yeasts with Minimal Inhibitory Concentration (MIC) values between 12.5 and 400 µg GAE/mL and the MIC values on Lactobacillus were higher than the MIC values against Candida isolates ( > 400 µg GAE/mL). These results indicate that the hydroalcoholic extract could be used without affecting the normal microbiota of vaginal fluid. The extract showed antioxidant activity and could modulate the inflammatory process by three pathways (sPLA2, COX-2, LOX). The plant extract contained high total phenolic levels (386.9±1.7 mg GAE/g dry extract) and flavonoid levels (260.4±2.7 mg GAE/g dry extract). Fifty phenolic compounds were identified by HPLC-ESI-MS. They were mainly hydrolysable and condensed tannins. The dry extract was chemically and biologically stable during one year at room temperature or 4 °C. CONCLUSIONS The presence of anti-Candida and anti-inflammatory activities in Tetraglochin andina extracts give support to their traditional use for treating conditions associated with microorganism infections and inflammatory process in humans. This plant preparation could be used to design phytopharmaceutical preparations to inhibit yeast growth and moderate the inflammatory and oxidative process.
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Affiliation(s)
- María Alejandra Moreno
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET), Facultad de Ciencias Naturales e IML, Universidad Nacional de Tucumán, San Lorenzo 1469 San Miguel de Tucumán, Tucumán, Argentina
| | - Susana Córdoba
- INEI-ANLIS 'Dr. Carlos G. Malbrán', Departamento de Micología, Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
| | - Iris Catiana Zampini
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET), Facultad de Ciencias Naturales e IML, Universidad Nacional de Tucumán, San Lorenzo 1469 San Miguel de Tucumán, Tucumán, Argentina
| | - María Inés Mercado
- Instituto de Morfología Vegetal. Área Botánica. Fundación Miguel Lillo, Miguel Lillo 251, San Miguel de Tucumán, Tucumán, Argentina.
| | - Graciela Ponessa
- Instituto de Morfología Vegetal. Área Botánica. Fundación Miguel Lillo, Miguel Lillo 251, San Miguel de Tucumán, Tucumán, Argentina.
| | - María Rosa Alberto
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET), Facultad de Ciencias Naturales e IML, Universidad Nacional de Tucumán, San Lorenzo 1469 San Miguel de Tucumán, Tucumán, Argentina
| | - M E Fatima Nader-Macias
- Centro de Referencia de Lactobacillos (CERELA-CONICET), Chacabuco 145, San Miguel de Tucumán, Tucumán, Argentina
| | - Jorge Sayago
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET), Facultad de Ciencias Naturales e IML, Universidad Nacional de Tucumán, San Lorenzo 1469 San Miguel de Tucumán, Tucumán, Argentina
| | - Alberto Burgos-Edwards
- Laboratorio de Química de Productos Naturales, Instituto de Química de Recursos Naturales, Universidad de Talca, Casilla 747, 3460000 Talca, Chile
| | - Guillermo Schmeda-Hirschmann
- Laboratorio de Química de Productos Naturales, Instituto de Química de Recursos Naturales, Universidad de Talca, Casilla 747, 3460000 Talca, Chile
| | - María Inés Isla
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET), Facultad de Ciencias Naturales e IML, Universidad Nacional de Tucumán, San Lorenzo 1469 San Miguel de Tucumán, Tucumán, Argentina.
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Córdoba S, Isla G, Szusz W, Vivot W, Hevia A, Davel G, Canteros CE. Molecular identification and susceptibility profile of Sporothrix schenckii sensu lato isolated in Argentina. Mycoses 2018; 61:441-448. [PMID: 29500853 DOI: 10.1111/myc.12760] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2018] [Revised: 02/23/2018] [Accepted: 02/23/2018] [Indexed: 01/20/2023]
Abstract
We studied 23 clinical and environmental strains of Sporothrix schenckii sensu lato collected from 1984 to 2017 in Argentina. The molecular identification (partial sequencing of a fragment of the calmodulin gene) of the strains was performed. For the yeast and mycelial phases, the in vitro susceptibility testing by a microdilution reference method was determined against eight antifungal drugs. Strains studied were identified as S. schenckii sensu stricto 13 (56.5%), S. brasiliensis 8 (34.7%) and S. globosa 2 (8.7%). The most active antifungal drugs tested for the yeast and mycelial phases expressed as geometric mean (GM) value of the minimal inhibitory concentration (MIC) (μg mL-1 ) were terbinafine (0.07 and 0.24), posaconazole (0.13 and 0.58), itraconazole (0.38 and 1.10) and ketoconazole (0.22 and 0.89), while fluconazole (110.10 and 131.92) and flucytosine (2.96 and 79.03) were the less active. For voriconazole and amphotericin B the GM-MIC values were acceptably low for the yeast phase (0.39 and 0.72 μg mL-1 ), while the mycelial phase showed values ≥2-fold higher (8.76 and 1.88 μg mL-1 ), P < .05. Here, we described S. schenckii sensu stricto, S. brasiliensis and S. globosa, these species were isolated from humans, animals and soil and are circulating in Argentina since at least 1984.
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Affiliation(s)
- Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán", Buenos Aires, Argentina
| | - Guillermina Isla
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán", Buenos Aires, Argentina
| | - Wanda Szusz
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán", Buenos Aires, Argentina
| | - Walter Vivot
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán", Buenos Aires, Argentina
| | - Alejandra Hevia
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán", Buenos Aires, Argentina
| | - Graciela Davel
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán", Buenos Aires, Argentina
| | - Cristina E Canteros
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán", Buenos Aires, Argentina
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Moreno MA, Córdoba S, Zampini IC, Mercado MI, Ponessa G, Sayago JE, Ramos LLP, Schmeda-Hirschmann G, Isla MI. Argentinean Larrea Dry Extracts with Potential Use in Vaginal Candidiasis. Nat Prod Commun 2018. [DOI: 10.1177/1934578x1801300215] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Larrea divaricata (Ld), Larrea cuneifolia (Lc) and Larrea nitida (Ln) are shrubs occurring in Northwestern Argentina used in traditional medicine to treat fungal and bacterial infections and as anti-inflammatory. Antibacterial and antifungal activity of several Larrea species has been reported. However, their potential use in vaginal infections has been so far not assessed. The aim of this work was to determine the botanical difference between Larrea species, the chemical composition and the activity of Larrea dry extracts (DE) on Candida species isolated from vaginal infections and to assess their potential as antioxidant agents because infections are usually associated with oxidative processes. The main botanical difference between Larrea species resides in the morphology and shape of leaf, leaflets and stipules, presence or absence of mucron and rachis, percentage of coalescence of the leaflets. The position and abundance of the sclerenchymatic tissue at the mind vein and petiole transection allows the differentiation of the three species. The profile of phenolic compounds in the Larrea DE was determined. HPLC-ESI-MS/MS analysis of DE allowed the identification of 2 flavonoids and 10 lignans. Trihydroxy-6,7′cyclolignan was found only in L. divaricata and dihydroxy-methoxy-epoxylignan in L. cuneifolia and L. nitida, nordihydroguaiaretic acid (NDGA) was found in the three species. All extracts showed antioxidant capacity. The DE showed to be effective against Candida albicans and non-albicans strains. According to our results, the local vaginal use of Larrea DE in the concentration range of MIC values for Candida species does not affect the Lactobacillus normal vaginal microbiota. This work adds evidence to the potential use of Larrea DE as phytomedicine in vulvovaginal candidiasis with multiple effects, including antifungal and antioxidant activity.
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Affiliation(s)
- María Alejandra Moreno
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET-UNT). Facultad de Ciencias Naturales e IML. Universidad Nacional de Tucumán, San Lorenzo 1469. San Miguel de Tucumán, Tucumán, Argentina
| | - Susana Córdoba
- Instituto Nacional de Enfermedades Infecciosas- Administración Nacional de Laboratorios e Institutos de Salud (INEI-ANLIS) ‘Dr. Carlos G. Malbrán', Departamento de Micología, Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
| | - Iris Catiana Zampini
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET-UNT). Facultad de Ciencias Naturales e IML. Universidad Nacional de Tucumán, San Lorenzo 1469. San Miguel de Tucumán, Tucumán, Argentina
| | - María Inés Mercado
- Instituto de Morfología Vegetal. Área Botánica. Fundación Miguel Lillo. Miguel Lillo 251. San Miguel de Tucumán. Tucumán. Argentina
| | - Graciela Ponessa
- Instituto de Morfología Vegetal. Área Botánica. Fundación Miguel Lillo. Miguel Lillo 251. San Miguel de Tucumán. Tucumán. Argentina
| | - Jorge Esteban Sayago
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET-UNT). Facultad de Ciencias Naturales e IML. Universidad Nacional de Tucumán, San Lorenzo 1469. San Miguel de Tucumán, Tucumán, Argentina
- Facultad de Bioquímica, Química y Farmacia. Universidad Nacional de Tucumán, Ayacucho 471. San Miguel de Tucumán, Tucumán, Argentina
| | - Liudis Leidy Pino Ramos
- Laboratorio de Química de Productos Naturales, Instituto de Química de Recursos Naturales, Universidad de Talca, Casilla 747, Talca 3460000, Chile
| | - Guillermo Schmeda-Hirschmann
- Laboratorio de Química de Productos Naturales, Instituto de Química de Recursos Naturales, Universidad de Talca, Casilla 747, Talca 3460000, Chile
| | - María Inés Isla
- Laboratorio de Investigación de Productos Naturales (LIPRON), Instituto de Bioprospección y Fisiología Vegetal (INBIOFIV-CONICET-UNT). Facultad de Ciencias Naturales e IML. Universidad Nacional de Tucumán, San Lorenzo 1469. San Miguel de Tucumán, Tucumán, Argentina
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Córdoba S, Rojas E, Garrido-Ríos A, Borbujo J. Intense Local Reaction at the Sites of Injection of Lipolytic Mesotherapy. Actas Dermosifiliogr 2017; 108:958-959. [PMID: 28709616 DOI: 10.1016/j.ad.2017.02.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 11/27/2016] [Accepted: 02/10/2017] [Indexed: 11/18/2022] Open
Affiliation(s)
- S Córdoba
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, España.
| | - E Rojas
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, España
| | - A Garrido-Ríos
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, España
| | - J Borbujo
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, España
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Córdoba S, González M, Martínez-Morán C, Borbujo J. Bullous Phytophotodermatitis Caused by an Esoteric Remedy. Actas Dermo-Sifiliográficas (English Edition) 2017. [DOI: 10.1016/j.adengl.2016.11.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Córdoba S, González M, Martínez-Morán C, Borbujo JM. Bullous Phytophotodermatitis Caused by an Esoteric Remedy. Actas Dermosifiliogr 2016; 108:79-81. [PMID: 27591851 DOI: 10.1016/j.ad.2016.07.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2016] [Revised: 05/17/2016] [Accepted: 07/24/2016] [Indexed: 10/21/2022] Open
Affiliation(s)
- S Córdoba
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
| | - M González
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
| | - C Martínez-Morán
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
| | - J M Borbujo
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
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Córdoba S, Navarro-Vidal B, Martínez-Morán C, Borbujo J. Reactivation of Skin Lesions After Patch Testing to Investigate Drug Rash With Eosinophilia and Systemic Symptoms (DRESS) Syndrome. Actas Dermosifiliogr 2016; 107:781-783. [PMID: 27340118 DOI: 10.1016/j.ad.2016.05.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Revised: 05/03/2016] [Accepted: 05/05/2016] [Indexed: 10/21/2022] Open
Affiliation(s)
- S Córdoba
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
| | - B Navarro-Vidal
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
| | - C Martínez-Morán
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
| | - J Borbujo
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
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Bosco-Borgeat ME, Mazza M, Taverna CG, Córdoba S, Murisengo OA, Vivot W, Davel G. Amino acid substitution in Cryptococcus neoformans lanosterol 14-α-demethylase involved in fluconazole resistance in clinical isolates. Rev Argent Microbiol 2016; 48:137-42. [PMID: 27311753 DOI: 10.1016/j.ram.2016.03.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [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: 09/07/2015] [Revised: 12/03/2015] [Accepted: 03/01/2016] [Indexed: 12/28/2022] Open
Abstract
The molecular basis of fluconazole resistance in Cryptococcus neoformans has been poorly studied. A common azole resistance mechanism in Candida species is the acquisition of point mutations in the ERG11 gene encoding the enzyme lanosterol 14-α-demethylase, target of the azole class of drugs. In C. neoformans only two mutations were described in this gene. In order to evaluate other mutations that could be implicated in fluconazole resistance in C. neoformans we studied the genomic sequence of the ERG11 gene in 11 clinical isolates with minimal inhibitory concentration (MIC) values to fluconazole of ≥16μg/ml. The sequencing revealed the G1855A mutation in 3 isolates, resulting in the enzyme amino acid substitution G484S. These strains were isolated from two fluconazole-treated patients. This mutation would not intervene in the susceptibility to itraconazole and voriconazole.
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Affiliation(s)
- María E Bosco-Borgeat
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán", Ciudad Autónoma de Buenos Aires, Argentina.
| | - Mariana Mazza
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán", Ciudad Autónoma de Buenos Aires, Argentina
| | - Constanza G Taverna
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán", Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán", Ciudad Autónoma de Buenos Aires, Argentina
| | - Omar A Murisengo
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán", Ciudad Autónoma de Buenos Aires, Argentina
| | - Walter Vivot
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán", Ciudad Autónoma de Buenos Aires, Argentina
| | - Graciela Davel
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas "Dr. Carlos G. Malbrán", Ciudad Autónoma de Buenos Aires, Argentina
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Córdoba S, Isla MG, Szusz W, Vivot W, Altamirano R, Davel G. Susceptibility profile and epidemiological cut-off values ofCryptococcus neoformansspecies complex from Argentina. Mycoses 2016; 59:351-6. [DOI: 10.1111/myc.12479] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Revised: 01/06/2016] [Accepted: 01/16/2016] [Indexed: 02/03/2023]
Affiliation(s)
- Susana Córdoba
- Instituto Nacional de Enfermedades Infecciosas “Dr. C. G. Malbrán”; Buenos Aires Argentina
| | - Maria G. Isla
- Instituto Nacional de Enfermedades Infecciosas “Dr. C. G. Malbrán”; Buenos Aires Argentina
| | - Wanda Szusz
- Instituto Nacional de Enfermedades Infecciosas “Dr. C. G. Malbrán”; Buenos Aires Argentina
| | - Walter Vivot
- Instituto Nacional de Enfermedades Infecciosas “Dr. C. G. Malbrán”; Buenos Aires Argentina
| | - Rodrigo Altamirano
- Cátedra de Cálculo Estadístico y Biometría; Facultad de Ciencias Agrarias y Forestales; Buenos Aires Argentina
| | - Graciela Davel
- Instituto Nacional de Enfermedades Infecciosas “Dr. C. G. Malbrán”; Buenos Aires Argentina
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Calderón-Komáromy A, Puente-Pablo N, Córdoba S, Borbujo J. Dermatitis alérgica de contacto por Dittrichia viscosa. Actas Dermo-Sifiliográficas 2016; 107:76-8. [DOI: 10.1016/j.ad.2015.03.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Revised: 03/14/2015] [Accepted: 03/28/2015] [Indexed: 10/23/2022] Open
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31
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Orecchini LA, Olmos E, Taverna CG, Murisengo OA, Szuzs W, Vivot W, Córdoba S, Bosco-Borgeat ME, Montanaro PC. First Case of Fungemia Due to Pseudozyma aphidis in a Pediatric Patient with Osteosarcoma in Latin America. J Clin Microbiol 2015; 53:3691-4. [PMID: 26292313 PMCID: PMC4609714 DOI: 10.1128/jcm.01095-15] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 08/17/2015] [Indexed: 11/20/2022] Open
Abstract
We report the first case of blood infection due to Pseudozyma aphidis in Latin America. We contribute evidence showing this organism to be a potential human pathogen, and we provide new data about its identification, drug susceptibility, and treatment outcome.
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Affiliation(s)
| | - Eugenia Olmos
- Hospital de niños de la Santísima Trinidad, Córdoba, Argentina
| | - Constanza Giselle Taverna
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Omar Alejandro Murisengo
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Wanda Szuzs
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Walter Vivot
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - María Eugenia Bosco-Borgeat
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
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Córdoba S, Puente N, Calderón A, Borbujo J. Eritema multiforme de contacto tras exposición accidental a acrilatos en tintas de impresión. Actas Dermo-Sifiliográficas 2015; 106:684-5. [DOI: 10.1016/j.ad.2015.02.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Revised: 02/10/2015] [Accepted: 02/11/2015] [Indexed: 11/17/2022] Open
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Calderón-Komáromy A, Córdoba S, Tardío J, Borbujo J. Bilateral Ossification of the Auricular Cartilage. Actas Dermo-Sifiliográficas (English Edition) 2015. [DOI: 10.1016/j.adengl.2015.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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34
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Córdoba S, Tardío J, Borbujo J. Keratotic Lesions on the Palms and Nail Abnormalities. Actas Dermo-Sifiliográficas (English Edition) 2015. [DOI: 10.1016/j.adengl.2014.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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35
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Córdoba S, Tardío JC, Borbujo JM. Keratotic lesions on the palms and nail abnormalities. Actas Dermosifiliogr 2014; 106:133-4. [PMID: 24838223 DOI: 10.1016/j.ad.2014.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2013] [Revised: 01/20/2014] [Accepted: 02/23/2014] [Indexed: 11/26/2022] Open
Affiliation(s)
- S Córdoba
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, España.
| | - J C Tardío
- Servicio de Anatomía Patológica, Hospital Universitario de Fuenlabrada, Madrid, España
| | - J M Borbujo
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, España
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Martínez-Morán C, Córdoba S, Navalón R, Borbujo J. Results of a 2-Year Study of Outpatient Activity in the Dermatology Department of a University Hospital. Actas Dermo-Sifiliográficas (English Edition) 2014. [DOI: 10.1016/j.adengl.2013.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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37
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Martínez-Morán C, Córdoba S, Navalón R, Borbujo J. Resultados de un estudio de la actividad realizada durante 2 años en consultas de dermatología de un hospital universitario. Actas Dermo-Sifiliográficas 2014; 105:426-7. [DOI: 10.1016/j.ad.2013.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2013] [Revised: 04/06/2013] [Accepted: 05/05/2013] [Indexed: 10/26/2022] Open
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Freites-Martínez A, Martinez-Sánchez D, de Pablo NP, Calderón-Komaromy A, Córdoba S, Burbujo J. [Exudative onycholysis and acute bacterial paronychia related to BIBF-1120 and paclitaxel: response to topical therapy]. Invest Clin 2014; 55:55-60. [PMID: 24758102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
A case of a 50 years-old breast cancer patient treated with weekly paclitaxel and BIBF 1120 is reported herein. At the end of the twelfth cycle of chemotherapy, the patient developed distal onycholysis with intense hyponychium serous exudates, pain and malodor in all her fingernails. It was treated with topical fusidic acid and 1% methylprednisolone aceponate two times daily, with an excellent clinical response from the first three days of treatment. Bacterial paronychia with nail plate loss of the fifth left fingernail was observed a week after the topical therapy was started, with positive cultures for Methicillin susceptible Staphylococcus aureus. There are few reported cases of exudative onycholysis associated with chemotherapy. However, these are especially related to paclitaxel. No recurrences of nail disturbances were observed weeks after the end of chemotherapy. Topical corticosteroids and fusidic acid could be considered as a therapeutic option when exudative onycholysis related to paclitaxel is established
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Affiliation(s)
- Susana Córdoba
- Department of Dermatology, Hospital Universitario de Fuenlabrada. Madrid, Spain
| | - Juan C. Tardío
- Department of Pathology, Hospital Universitario de Fuenlabrada. Madrid, Spain
| | - Marta Utrera
- Department of Dermatology, Hospital Universitario de Fuenlabrada. Madrid, Spain
| | | | - Jesús Borbujo
- Department of Dermatology, Hospital Universitario de Fuenlabrada. Madrid, Spain
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Corona Sánchez J, Córdoba S, Salazar G, Doval A, Vázquez M, Alcántara P, de Las Heras M, Carreras J. Comparison of gross tumor volume (GTV) determined by 18F-FDG PET/CT and MRI in radiotherapy planning in rectal cancer. Rep Pract Oncol Radiother 2013. [DOI: 10.1016/j.rpor.2013.03.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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41
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Calderón-Komáromy A, García-Donoso C, Aguado-Lobo M, Córdoba S. Lesiones purpúricas de rápida evolución en paciente séptico. Enferm Infecc Microbiol Clin 2013; 31:342-3. [DOI: 10.1016/j.eimc.2012.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2012] [Accepted: 11/02/2012] [Indexed: 10/27/2022]
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Aguado M, Espinosa P, Romero-Maté A, Tardío J, Córdoba S, Borbujo J. Brote de leishmaniasis cutánea en el municipio de Fuenlabrada. Actas Dermo-Sifiliográficas 2013. [DOI: 10.1016/j.ad.2012.11.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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43
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Aguado M, Espinosa P, Romero-Maté A, Tardío JC, Córdoba S, Borbujo J. Outbreak of cutaneous leishmaniasis in Fuenlabrada, Madrid. Actas Dermosifiliogr 2013; 104:334-42. [PMID: 23567452 DOI: 10.1016/j.adengl.2013.03.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2012] [Accepted: 11/17/2012] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Leishmaniasis, an endemic infection in Spain, is caused by protozoan parasites of the Leishmania genus. Between 2010 and 2012, there was an outbreak of cutaneous and visceral leishmaniasis in Fuenlabrada, Madrid. OBJECTIVES To describe the cases of cutaneous leishmaniasis diagnosed over a 17-month period at the dermatology department of Hospital de Fuenlabrada. MATERIAL AND METHODS We analyzed the epidemiological, clinical, histological, and microbiological features of each case and also evaluated the treatments administered and outcomes. RESULTS We studied 149 cases. The incidence of cutaneous leishmaniasis showed a peak in the age range between 46 and 60 years and was similar in men and women. At the time of consultation, the lesions had been present for between 2 and 6 months in the majority of patients. The most common clinical presentation was with erythematous plaques and papules without crusts (52% of cases). Lesions were most often located in sun-exposed areas and were multiple in 57% of patients. In 67% of cases, the histological study showed non-necrotizing granulomatous dermatitis with no evidence of parasites using conventional staining methods. Diagnosis was confirmed by polymerase chain reaction (PCR) in 98% of patients. In the remaining cases, the histological study revealed Leishman-Donovan bodies in the skin. Intralesional pentavalent antimonials were the most commonly used drugs (76% of cases) and produced satisfactory results. CONCLUSIONS We have presented a large series of cases of cutaneous leishmaniasis diagnosed in the context of an outbreak. Multiple papules were the most common clinical presentation, with histology that showed non-necrotizing granulomatous dermatitis with no evidence of parasites. PCR of skin samples was the test that most frequently provided the diagnosis.
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Affiliation(s)
- M Aguado
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, Spain.
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Córdoba S, Caballero I, Navalón R, Martínez-Sánchez D, Martínez-Morán C, Borbujo J. Analysis of the Surgical Activity in the Dermatology Department of Fuenlabrada University Hospital, Madrid, Spain, Between 2005 and 2010: Determination of the Standard Operating Times. Actas Dermo-Sifiliográficas (English Edition) 2013. [DOI: 10.1016/j.adengl.2012.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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45
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Córdoba S, Caballero I, Navalón R, Martínez-Sánchez D, Martínez-Morán C, Borbujo J. Analysis of Operating Room Activities in the Dermatology Department at Hospital Universitario de Fuenlabrada (2005-2010). Actas Dermo-Sifiliográficas (English Edition) 2013. [DOI: 10.1016/j.adengl.2012.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Córdoba S, Gandolfo Cano M, Aguado M, Huerta-Brogera M, Romero A, Martínez-Morán C, Borbujo J. Delayed allergic skin reactions due to intralesional meglumine antimoniate therapy for cutaneous leishmaniasis. Allergy 2012; 67:1609-11. [PMID: 23067046 DOI: 10.1111/all.12050] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2012] [Indexed: 11/30/2022]
Abstract
BACKGROUND The pentavalent antimonials are considered the first-choice drugs for treatment of leishmaniasis. Intralesional therapy is used to minimize the systemic effects of the drug. METHODS Seventy patients were treated with weekly intralesional infiltrations of Glucantime(®) (meglumine antimoniate) for cutaneous leishmaniasis. Nine of them had infiltrated itchy erythematous and vesiculous plaques at the injection sites. Cutaneous tests were undertaken in eight patients. RESULTS Prick tests were negative and seven of the eight patients showed positive intradermal tests with Glucantime(®) dilutions reading at D2 and D4. Only one patient had positive patch test to Glucantime a.i. Local reactions at the site of injection have been briefly mentioned in some reported series of leishmaniasis treated with intralesional or intramuscular meglumine antimoniate but the mechanism has never been explained before. CONCLUSIONS We report the first series of patients with local reactions at the injection sites of meglumine antimoniate in whom type IV hypersensitivity could be involved.
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Affiliation(s)
- S. Córdoba
- Dermatology; Hospital Universitario de Fuenlabrada
| | | | - M. Aguado
- Dermatology; Hospital Universitario de Fuenlabrada
| | | | - A. Romero
- Dermatology; Hospital Universitario de Fuenlabrada
| | | | - J. Borbujo
- Dermatology; Hospital Universitario de Fuenlabrada
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47
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Córdoba S, Caballero I, Navalón R, Martínez-Sánchez D, Martínez-Morán C, Borbujo J. Analysis of the surgical activity in the Dermatology Department of Fuenlabrada University Hospital, Madrid, Spain, between 2005 and 2010: determination of the standard operating times. Actas Dermosifiliogr 2012; 104:141-7. [PMID: 22944291 DOI: 10.1016/j.ad.2012.05.005] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2012] [Revised: 05/02/2012] [Accepted: 05/13/2012] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES To analyze the characteristics of the dermatologic surgery lists and to compare different indicators of surgical productivity. MATERIALS AND METHODS This was a retrospective, descriptive study of the routine surgical activity undertaken in the Dermatology Department of Fuenlabrada University Hospital, Madrid, Spain, between January 2005 and December 2010. Data about the procedures performed and about the surgical lists were analyzed and an analysis was made of operating room occupancy. Surgical productivity was analyzed using standard operating times (SOTs) and surgical scheduling adequacy values (SA1 and SA2). Variables were recorded as relative frequencies. Covariance and the Pearson linear correlation index were used for comparisons. RESULTS The study period included a total of 11,481 surgical sessions, of which 71% were minor surgery and the remainder were major outpatient surgery. A mean of 9.7 operations were performed in each session and the overall operating room occupancy was 71.9%. Four SOT descriptors (minor surgery, multiple minor skin lesions, nail surgery, and malignant tumors with primary closure) were sufficient to classify 86.7% of the operations performed. The operating room down-time was 0.15 SOT (9minutes) in 91.3% of operations. The mean SA1 index was 1.20. Overall surgical productivity measured using the SA2 index was 96.46%. The Pearson correlation showed a statistically significant relationship between the increase in the number of patients per surgical session, the reduction in operating room occupancy, and the increase in SA2 operating room productivity. CONCLUSIONS The application of SOT descriptors enables us to quantify the complexity of the operations included in the surgical waiting list and to obtain indicators for the evaluation of surgical activity, improving efficiency in surgical time management.
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Affiliation(s)
- S Córdoba
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, España.
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48
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Córdoba S, Caballero I, Navalón R, Martínez-Sánchez D, Martínez-Morán C, Borbujo J. Analysis of operating room activities in the dermatology department at Hospital Universitario de Fuenlabrada (2005-2010). Actas Dermosifiliogr 2012; 104:38-43. [PMID: 22831786 DOI: 10.1016/j.ad.2012.04.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2012] [Revised: 04/03/2012] [Accepted: 04/30/2012] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To analyze data corresponding to patients who underwent dermatological surgery in an operating room. MATERIAL AND METHODS This was a descriptive, retrospective study of operating room activities in the dermatology department of Hospital Universitario de Fuenlabrada in Madrid between January 2005 and December 2010. We analyzed the relative frequency of a range of patient and procedure-related variables, as well as substitution and cancellation rates, the proportional risk of complications, and operating room efficiency. RESULTS In the period analyzed, 11,516 patients underwent surgery: 9351 required minor surgery, 1998 major ambulatory surgery, and 167 surgery requiring hospitalization. Simple excision was the most common procedure (64.7%), and in the majority of cases (85%), the condition was benign. The mean number of patients treated per day was 9.7, and mean operating room efficiency was 71.9%. CONCLUSIONS Accurate record-keeping is essential for analyzing operating room activities and comparing results with those from other centers. The analysis of patterns over time shows the effect of changes made on different indicators. In our case, a decrease in operating room efficiency was seen with an increase in the number of patients per day undergoing surgery.
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Affiliation(s)
- S Córdoba
- Servicio de Dermatología Hospital Universitario de Fuenlabrada, Madrid, España.
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Córdoba S, Vivot W, Bosco-Borgeat ME, Taverna C, Szusz W, Murisengo O, Isla G, Davel G. Species distribution and susceptibility profile of yeasts isolated from blood cultures: results of a multicenter active laboratory-based surveillance study in Argentina. Rev Argent Microbiol 2012; 43:176-85. [PMID: 22430989 DOI: 10.1590/s0325-75412011000300003] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2011] [Accepted: 07/05/2011] [Indexed: 11/22/2022] Open
Abstract
The Mycology Department of the Instituto Nacional de Enfermedades Infecciosas "Dr. C. Malbrán", conducted the Second National Multicenter Survey on Fungemia due to Yeasts in Argentina. The aim was to obtain updated data of the frequency of the causative species encountered and their in vitro susceptibility to seven antifungal agents. Yeast species were identified by micromorphological and biochemical studies. Antifungal susceptibility testing was performed by the reference microdilution method E.Def 7.1 of the European Committee on Antibiotic Susceptibility Testing (EUCAST). A total of 461 viable yeasts were identified. The most frequent species were: Candida albicans (38.4 %), Candida parapsilosis (26 %), Candida tropicalis (15.4 %) and Candida glabrata (4.3 %). Other uncommon species, such as Candida viswanathii (0.6 %), Candida haemulonii (0.4 %), Candida inconspicua (0.2 %) and Candida fermentati (0.2 %) were also isolated. Among the Candida spp., 5.4 % and 1.6 % were resistant to fluconazole and voriconazole, respectively. Itraconazole and caspofungin were the most efficient agents against all Candida spp. tested (MIC < 1 mg/l). For anidulafungin, 21.6 % of C. parapsilosis showed a MIC value of 4 mg/l. Fluconazole was less active against 53.1 % of Cryptococcus neoformans (MIC > 8 mg/l), 75 % of Trichosporon spp., and 100 % of Rhodotorula spp., Geotrichum candidum, Saccharomyces cerevisiae. The global percentage of mortality was 20 %. The presence of uncommon species reinforces the need for performing continuous laboratory surveillance in order to monitor possible changes, not only in the epidemiological distribution of species, but also in the resistance to antifungal drugs.
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Affiliation(s)
- Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. C. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina.
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Martínez-Morán C, Nájera L, Ruiz-Casado AI, Romero-Maté A, Espinosa P, Meseguer-Yebra C, Córdoba S, Borbujo JM. Interstitial granulomatous drug reaction to sorafenib. ACTA ACUST UNITED AC 2011; 147:1118-9. [PMID: 21931061 DOI: 10.1001/archdermatol.2011.241] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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