Clinical Cases of Coccidioidomycosis in the Americas in the Period 1950-2021: Epidemiology Data, Diagnosis, and Treatment
Por:
Reyes-Montes, MD, León-García, AA, Frías-De-León, MG, Acosta-Altamirano, G, Sánchez-Saavedra, EP, Victoriano-Pastelín, I, Meraz-Ríos, B, Duarte-Escalante, E
Publicada:
1 nov 2023
Resumen:
Coccidioidomycosis, caused by Coccidioides immitis and C. posadasii, causes significant morbidity and mortality, both in immunocompetent and immunocompromised people, mainly in endemic areas. The present work analyzed its epidemiology, diagnostic methods, and treatment by reviewing clinical cases published from 1950 to 2021. Fifty-nine articles were included, corresponding to 275 clinical cases. The results showed a higher incidence of coccidioidomycosis in the male gender than the female gender. The most affected age group was 31-40 years, and the most reported clinical presentation was disseminated with greater involvement in cutaneous and subcutaneous tissue, followed by the CNS, bone system, and peritoneum. The species most frequently reported was C. immitis. The most used treatment was azoles, followed by their combination with amphotericin B, monotherapy with amphotericin B, and alternative medicine. This work shows that epidemiological data outside the USA are still scarce. Serological tests are the preferred diagnostic method in daily medical practice, and cultures remain the gold standard. The treatment for coccidioidomycosis is ketoconazole and amphotericin B, individually or in combination.
Filiaciones:
Reyes-Montes, MD:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Ciudad Univ, Ciudad De Mexico 04510, Mexico
León-García, AA:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Ciudad Univ, Ciudad De Mexico 04510, Mexico
Frías-De-León, MG:
Hosp Reg Alta Especial Ixtapaluca, Unidad Invest Biomed, Ixtapaluca 56530, Mexico
Acosta-Altamirano, G:
Hosp Reg Alta Especial Ixtapaluca, Unidad Invest Biomed, Ixtapaluca 56530, Mexico
Sánchez-Saavedra, EP:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Ciudad Univ, Ciudad De Mexico 04510, Mexico
Victoriano-Pastelín, I:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Ciudad Univ, Ciudad De Mexico 04510, Mexico
Meraz-Ríos, B:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Ciudad Univ, Ciudad De Mexico 04510, Mexico
Duarte-Escalante, E:
Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Ciudad Univ, Ciudad De Mexico 04510, Mexico
gold, Green Published, All Open Access; Gold Open Access
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