Caso Clínico/Case Report
Histoplasmose no Nordeste do Brasil. Relato de três casos*
Histoplasmosis in the northeast of Brazil. Report of three cases
Antônio de Deus Filho1,
, Bodo Wanke2, Márcia do Amparo Salmito Cavalcanti3, Liline Maria Soares Martins4, Antônio Castelo Branco de Deus5
Corresponding author
mdedeus@uol.com.br
Endereço para correspondência: Antônio de Deus Filho, Rua Canadá, 2136 – Cristo Rei. Teresina-PI, Brasil. CEP 64016 – 610, Contacto: (86) 3217 8406 e (86) 9993 5780
Endereço para correspondência: Antônio de Deus Filho, Rua Canadá, 2136 – Cristo Rei. Teresina-PI, Brasil. CEP 64016 – 610, Contacto: (86) 3217 8406 e (86) 9993 5780
1 Professor Adjunto. Doutor de Pneumologia da Faculdade de Medicina da UFPI
2 Pesquisador Titular do Laboratório de Micologia Médica do Instituto Oswaldo Cruz /FioCruz, Rio de Janeiro/RJ, Brasil
3 Professora Adjunta. Doutora de Medicina Tropical da UESPI
4 Professora Assistente de Micologia da Faculdade de Ciências Médicas da UESPI
5 Estudante de Medicina do sétimo período da UFPI
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Relato de três casos<a class="elsevierStyleCrossRef" href="#fn0005">*</a>" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "109" "paginaFinal" => "114" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Antônio de Deus Filho, Bodo Wanke, Márcia do Amparo Salmito Cavalcanti, Liline Maria Soares Martins, Antônio Castelo Branco de Deus" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Antônio" "apellidos" => "de Deus Filho" "email" => array:1 [ 0 => "mdedeus@uol.com.br" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Bodo" "apellidos" => "Wanke" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Márcia do Amparo Salmito" "apellidos" => "Cavalcanti" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 3 => array:3 [ "nombre" => "Liline Maria Soares" "apellidos" => "Martins" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "af0020" ] ] ] 4 => array:3 [ "nombre" => "Antônio Castelo Branco" "apellidos" => "de Deus" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "af0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Professor Adjunto. Doutor de Pneumologia da Faculdade de Medicina da UFPI" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Pesquisador Titular do Laboratório de Micologia Médica do Instituto Oswaldo Cruz /FioCruz, Rio de Janeiro/RJ, Brasil" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Professora Adjunta. Doutora de Medicina Tropical da UESPI" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Professora Assistente de Micologia da Faculdade de Ciências Médicas da UESPI" "etiqueta" => "4" "identificador" => "af0020" ] 4 => array:3 [ "entidad" => "Estudante de Medicina do sétimo período da UFPI" "etiqueta" => "5" "identificador" => "af0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "Endereço para correspondência: Antônio de Deus Filho, Rua Canadá, 2136 – Cristo Rei. Teresina-PI, Brasil. CEP 64016 – 610, Contacto: (86) 3217 8406 e (86) 9993 5780" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Histoplasmosis in the northeast of Brazil. Report of three cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-07-07" "fechaAceptado" => "2008-09-10" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570507" "palabras" => array:5 [ 0 => "Histoplasmose" 1 => "micose sistémica" 2 => "cavador de poços" 3 => "demolição" 4 => "morcegos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570506" "palabras" => array:5 [ 0 => "Histoplasmosis" 1 => "systemic mycosis" 2 => "wells diggers" 3 => "demolition" 4 => "bats" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A histoplasmose é uma micose endémica em certas áreas dos EUA e América Latina, causada pelo fungo dimórfico geofílico <span class="elsevierStyleItalic">H. capsulatum.</span> A descrição de casos no Nordeste do Brasil, embora não sendo área endémica, é de rara ocorrência, indicando a existência de microfocos em várias regiões. Razões precisas para esse padrão de distribuição são desconhecidas. Actividades relacionadas com a remoção do solo em tais locais estão associadas à exposição ao <span class="elsevierStyleItalic">H. capsulatum</span>. O objectivo desse trabalho é descrever três casos isolados de histoplasmose ocorridos na região Nordeste do Brasil, em indivíduos expostos a distintas actividades (demolição de domicílios, escavação de poços e exposição a morcegos).</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (1): 109-114</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Histoplasmosis is an endemic mycosis in specific areas of the U.S. and Latin America, caused by dimorphic geophilic fungus <span class="elsevierStyleItalic">H. capsulatum</span>. The description of cases in Brazil’s northeast, considering that this region isn’t an endemic area, indicates the existence of small outbreaks in several regions. Precise reasons for this pattern of distribution are still unknown. Activities related to the removal of soil in these places are associated with exposure to <span class="elsevierStyleItalic">H. capsulatum</span>. The objective of this work is to describe three isolated cases of histoplasmosis wich occurred in Brazil’s northeast region in individuals exposed to different activities (demolition of houses, wells diggers and exposure to bats).</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (1): 109-114</span></p></span>" ] ] "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara" id="np0005">Trabalho realizado em parceria entre a Clínica de Pneumologia do Hospital Getúlio Vargas, Hospital de Ensino da UFPI na cidade de Teresina/PI e o laboratório de Micologia Médica do IPEC/ Instituto Oswaldo Cruz, Rio de Janeiro/RJ, Brasil</p>" "identificador" => "fn0005" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Wheat" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Semin Resp Infect" "fecha" => "2001" "volumen" => "16" "paginaInicial" => "131" "paginaFinal" => "140" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Practice guidelines for the management of patients with histoplasmosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:7 [ 0 => "L.J. Wheat" 1 => "G. Sarosi" 2 => "D. McKinsey" 3 => "R. Hamill" 4 => "R. Bradsher" 5 => "P. 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Peterson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Public Health" "fecha" => "1945" "volumen" => "35" "paginaInicial" => "1131" "paginaFinal" => "1147" "itemHostRev" => array:3 [ "pii" => "S0140673600043373" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.M. Zancopé-Oliveira" 1 => "M.M. Muniz" 2 => "Wanke B. Histoplasmose" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Dinâmica das doenças infecciosas e parasitárias" "paginaInicial" => "1207" "paginaFinal" => "1221" "serieVolumen" => "2" "serieFecha" => "2005" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bb0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Microepidemias de histoplasmose" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Pereira Rego" 1 => "N.M. Bethlem" 2 => "S. Magarão" 3 => "J.L. Miranda" 4 => "E.P. Bethlem" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JBM" "fecha" => "1976" "volumen" => "30" "paginaInicial" => "40" "paginaFinal" => "48" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Proposta de diagnóstico e tratamento das micoses profundas com manifestações pulmonares da Comissão de Peritos em Micoses da CNCT e da Comissão Científica da SBPT" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A.T. Londero" 1 => "B. Wanke" 2 => "C.S. 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Article information
ISSN: 08732159Original language: Portuguese
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