Publications by authors named "Maria C Gutierrez-Galhardo"

Background: Pregnant women constitute a vulnerable population occasionally affected by zoonotic sporotrichosis. Treatment is challenging due to potentially teratogenic oral medications (itraconazole and saturated potassium iodide solution) or lack of clinical experience during pregnancy (terbinafine). Literature is scarce on sporotrichosis and pregnancy, mainly consisting of case reports.

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  • Zoonotic sporotrichosis, primarily transmitted by cats, has become highly prevalent in Rio de Janeiro, with a study focusing on 43 non-zoonotic cases revealing important epidemiological and clinical data.
  • The majority of patients were male and common sources of infection included injuries from plants and soil contact, with a specific fungal species being predominantly responsible for the infections.
  • Antifungal susceptibility tests showed some strains resistant to treatment, highlighting the need for ongoing monitoring of antifungal resistance and further investigation into the environmental factors contributing to sporotrichosis.
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  • Sporotrichosis diagnosis requires various tests like culture and serum antibody detection, but these methods can sometimes lead to incorrect results.
  • This study focused on different patient groups to determine how well specific antibody tests work, using an ELISA method to check for various antibodies in serum samples.
  • Findings indicated that certain patients, especially those with nasal lesions and hypersensitivity, had a higher chance of getting false-negative results in antibody detection, highlighting the diagnostic challenges of sporotrichosis.
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Twenty-five years have passed since the initial observation of endemic zoonotic sporotrichosis in Rio de Janeiro, Brazil. Since then, this disease has spread throughout South America. Accompanying the emergence of this mycosis, some progress has been made, including the expansion of a research network in this field and higher visibility of sporotrichosis within government authorities and funding agencies.

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Sporotrichosis is the most frequent subcutaneous or implantation mycosis in Latin America, and its transmission occurs as a result of traumatic inoculation into the skin by organic matter containing the thermodimorphic fungi of the genus . Although cutaneous forms are more common, another important site is the osteoarticular system, whose hematogenous involvement is commonly associated with disseminated forms, especially in people who have an immunosuppressive condition, such as HIV/AIDS, chronic steroid use, and alcohol abuse. We present two cases of osteoarticular sporotrichosis of the knee caused by and followed up at our institution, with different outcomes.

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Generally, older people tend to suffer from more severe infections than younger adults. In addition, there are accumulations of comorbidities and immune senescence in some cases. This cohort study evaluated the clinical and epidemiological characteristics of older adults (≥60 years old) with sporotrichosis.

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Proteomics provide a robust approach to profile and quantify proteins within cells, organs, or tissues, providing comprehensive insights about the dynamics of cellular processes, modifications, and interactions. Similarly, understanding the transcriptome is essential to decipher functional elements of the genome, unraveling the mechanisms of disease development and the molecular constituents of cells and tissues. Some thermodimorphic fungi of the genus cause sporotrichosis, a subcutaneous mycosis of worldwide relevance.

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  • Sporotrichosis is a growing public health concern, and its diagnosis traditionally relies on culture methods that are slow and potentially hazardous for lab technicians.
  • A new RT-qPCR assay was developed and validated using 68 human samples with confirmed sporotrichosis, demonstrating high sensitivity (91.18%) and specificity (100%).
  • The assay successfully identified all three major Sporothrix species and showed excellent performance, particularly with skin (96.72%) and respiratory samples (100%), making it a promising tool for quick and accurate diagnosis of this infection.
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Sporotrichosis is the main subcutaneous mycosis worldwide. Several complications, including meningeal forms, can be observed in immunocompromised individuals. The sporotrichosis diagnosis is time-consuming due to the culture's limitations.

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Background: Sporotrichosis is a subcutaneous or implantation mycosis caused by some species of the genus Sporothrix. Rio de Janeiro state, Brazil, experiences hyperendemic levels of zoonotic sporotrichosis, with increasing cases of disseminated disease, especially in people living with HIV (PLHIV). Involvement of the nasal mucosa is rare and occurs isolated or in disseminated cases, with a delayed resolution.

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Itraconazole is the first choice for treating sporotrichosis. Amphotericin B is indicated for severe and disseminated forms. The aim of the study was to evaluate the antifungal susceptibility of strains isolated from patients with severe sporotrichosis treated with amphotericin B and correlate with clinical outcomes.

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Meningeal sporotrichosis is rare and occurs predominantly in immunosuppressed individuals. This retrospective study explored clinical and laboratory characteristics, treatment, and prognosis of patients with disseminated sporotrichosis who underwent lumbar puncture (LP) at a Brazilian reference center from 1999 to 2020. Kaplan-Meier and Cox regression models were used to estimate overall survival and hazard ratios.

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Feline-transmitted sporotrichosis has garnered attention due to the recent high incidence and the lack of efficient control in the epicenter of the epidemic, Rio de Janeiro, Brazil. Sporothrix brasiliensis is the major pathogen involved in feline-to-human sporotrichosis in Brazil and displays more virulent genotypes than the closely related species S. schenckii.

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The zoonotic transmission of sporotrichosis due to occurs largely in Rio de Janeiro state, Brazil since the 1990´s. Most patients infected with respond well to itraconazole or terbinafine. However, a few patients have a slow response or do not respond to the treatment and develop a chronic infection.

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Pulmonary sporotrichosis is a rare condition. It can present as a primary pulmonary disease, resulting from direct species (spp). conidia inhalation, or as part of multifocal sporotrichosis with multiple organ involvement, mainly in immunocompromised patients.

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Although rare, disseminated sporotrichosis is increasing in several countries. Despite its limiting toxic potential, amphotericin B is the only intravenous antifungal available to treat severe sporotrichosis. We aimed to describe the effectiveness and safety of amphotericin B treatment for severe sporotrichosis.

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Article Synopsis
  • Sporotrichosis is a chronic fungal infection that has become highly prevalent in Rio de Janeiro since the late 1990s, particularly in a defined area between the city and its outskirts.
  • The study analyzes health data from 2011 to 2015 to track the growth of the disease, finding that recent cases surpass all previous records and indicate that the infection is spreading further across the state.
  • Despite efforts to control it, the study highlights a concerning trend of increasing cases and a shift in the disease’s impact on social health.
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Purpose: To describe 120 cases of ocular sporotrichosis.

Methods: Review of medical records of patients with culture-proven (from eye specimen) ocular sporotrichosis, in Rio de Janeiro, from 2007 to 2017.

Results: Women were more affected (61.

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Sporotrichosis is a subcutaneous mycosis caused by pathogenic species of the genus Sporothrix. Since 1998, the number of cases of sporotrichosis due to Sporothrix brasiliensis has grown significantly in Rio de Janeiro, Brazil. Nearly all cases are related to cats as the main source of fungal infection.

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Background: Bone sporotrichosis is rare. The metropolitan region of Rio de Janeiro is hyperendemic for zoonotic sporotrichosis and the bone presentations are increasing.

Methods: We studied a retrospective cohort of 41 cases of bone sporotrichosis, diagnosed from 1999-2016.

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Sporotrichosis in immunocompromised patients has a high morbidity and may cause deaths. Particularly, patients with acquired immunodeficiency syndrome (AIDS) with low T CD4 counts develop a chronic disease, with severe and widespread forms. Recently, the ability of Sporothrix brasiliensis, the main agent of zoonotic sporotrichosis, to increase its virulence in a diabetic patient without HIV infection was described.

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Background: Sporotrichosis is a subcutaneous mycosis caused by dimorphic pathogenic fungi belonging to the Sporothrix genus. Pathogenic Sporothrix species typically produce melanin, which is known to be a virulence factor.

Objectives: The aim of this study was to perform phenotypic, genotypic, and virulence analyses of two distinct Sporothrix brasiliensis strains isolated from the same lesion on a patient from Rio de Janeiro.

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Purpose: To describe 26 cases of bulbar conjunctival sporotrichosis.

Methods: Review of clinical records of patients with bulbar conjunctivitis due to culture-proven spp. infection, in Rio de Janeiro, from 2007 to 2017.

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