Publications by authors named "Maria Guadalupe Frias De-Leon"

Article Synopsis
  • Empyema necessitatis can occur from untreated or poorly managed empyema, and the case presented involved an 11-year-old girl with pre-existing risks like overcrowding and incomplete vaccinations.
  • She exhibited symptoms of a dry cough and was diagnosed with complicated pneumonia, which led to the use of an endopleural tube and initial antibiotic treatments.
  • Despite treatment, her condition worsened, requiring additional interventions; finally, tailored antibiotics and VAC therapy resulted in significant improvement after 26 days.
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Introduction: Data on the prevalence of fungal coinfections/superinfections in patients with COVID-19 are limited.

Objective: To describe the prevalence of fungal coinfections/superinfections in patients with COVID-19, as well as risk factors and demographic, clinical, and microbiological characteristics.

Material And Methods: We included patients with a confirmed COVID-19 diagnosis and a confirmed fungal infection hospitalized in the ICU from March 2020 to December 2021.

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We evaluated the specificity of the primers OPF-01, P54, and 1253 to identify , , and , respectively, with the RAPD-PCR method. Eighty-two isolates belonging to the sections , , and were used. The isolates were identified by phenotypic (macro- and micromorphology) and genotypic (partial sequences of the gene) methods.

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In this study, molecular typing using Randomly Amplified Polymorphic DNA (RAPD-PCR) was conducted on 16 original isolates of obtained from locusts ( ssp. .) in Mexico (MX).

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is a widely distributed dermatophyte, which is among the main etiological agents of dermatophytosis in humans and domestic animals. This fungus invades, colonizes and nourishes itself on the keratinized tissues of the host through various virulence factors. This review will bring together the known information about the mechanisms, enzymes and their associated genes relevant to the pathogenesis processes of the fungus and will provide an overview of those virulence factors that should be better studied to establish effective methods of prevention and control of the disease.

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Background: Infections are a major cause of morbidity and mortality in patients with pemphigus vulgaris (PV). One of the most common infections in these patients is candidiasis. This is probably due to the use of systemic immunosuppressants, including oral and intravenous corticosteroids, mainly in megadoses (pulse therapy), although it is unknown if there are other associated factors, in addition to immunosuppressive treatment.

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Coccidioidomycosis, caused by and , 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.

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HIV-associated hemophagocytic lymphohistiocytosis (HLH) is mainly due to infections caused by viruses, fungi, and, to a lesser extent, bacteria, often with fatal results. Case presentation: A 15-year-old pediatric patient from another institution was admitted to our hospital with a fever of unknown origin (FUO). Clinical analysis and laboratory studies diagnosed HIV infection.

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Article Synopsis
  • Dermatophytes are a group of fungi identified through molecular techniques, speeding up the identification process and improving phylogenetic studies.
  • The research analyzed 94 dermatophyte isolates from several Central American countries, focusing on their morphological and genetic characteristics to understand their classification better.
  • Results showed that genotypic analysis effectively distinguished closely related species, revealing that different genes can provide varying levels of taxonomic insight, with the ITS gene being the most informative for phylogenetic analysis.
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COVID-19-associated pulmonary aspergillosis (CAPA) has had a high incidence. In addition, it has been associated with prolonged hospital stays, as well as several predisposing risk factors, such as fungal factors (nosocomial organism, the size of the conidia, and the ability of the spp. of colonizing the respiratory tract), environmental factors (remodeling in hospitals, use of air conditioning and negative pressure in intensive care units), comorbidities, and immunosuppressive therapies.

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  • Malnutrition is a serious public health issue in developing countries, particularly impacting children and increasing the risk of infections like oral candidiasis, with limited data on Candida presence in asymptomatic Mexican children.
  • A study of 743 preschool children in Mexico found varying nutritional statuses, with normal being the most common, while Candida spp. were isolated from 52 individuals, predominantly C. albicans.
  • Although there was no significant link between Candida colonization and nutritional status, a higher colonization rate was associated with increased intake of simple carbohydrates, especially among six-year-old boys.
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As a result of the COVID-19 pandemic, various joint efforts have been made to support the creation of vaccines. Different projects have been under development, of which some are in the clinical evaluation stage and others in are in phase III with positive results. The aim of this paper was to describe the current situation of the development and production of vaccines available to the population to facilitate future research and continue developing and proposing ideas for the benefit of the population.

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The objective of this work was to use the random amplification of the polymorphic DNA-polymerase chain reaction (RAPD-PCR) technique to select polymorphic patterns through qualitative and quantitative analyses to differentiate the species , , and . Twenty-seven isolates from different species were typified using phenotypic (macro- and micromorphology) and genotypic (partial gene sequencing) methods. Thirty-four primers were used to obtain polymorphic patterns, and with these a qualitative analysis was performed to select the primers that presented species-specific patterns to distinguish each species.

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Article Synopsis
  • Systemic candidiasis is a severe opportunistic fungal infection primarily caused by specific yeast species, with increasing cases from non- species that may resist antifungal treatments.
  • The study aimed to develop a PCR assay for quick detection of common pathogenic yeast species, focusing on blood and bronchial samples, using specially designed oligonucleotides that target a specific rDNA region.
  • The newly developed PCR method demonstrated a sensitivity of 73.9%, a specificity of 96.3%, and strong predictive values, indicating its potential for reliable use in diagnosing systemic candidiasis.
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In different regions worldwide, there exists an intra-and inter-regional variability in the rates of resistance to antifungal agents in , highlighting the importance of understanding the epidemiology and antifungal susceptibility profiles of in each region. However, in some regions, such as Ibero-America, limited data are available in this context. Therefore, in the present study, a systematic review was conducted to determine the antifungal resistance in in Ibero-America over the last five years.

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Sporotrichosis is a subcutaneous endemic mycosis caused by species of the complex. The most common clinical form of the disease is lymphocutaneous, while the fixed cutaneous and disseminated cutaneous forms are rare. Moreover, it is more prevalent in immunocompetent individuals.

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In recent years, a progressive increase in the incidence of invasive fungal infections (IFIs) caused by has been observed. The objective of this literature review was to study the epidemiology, drug resistance, and virulence factors associated with the complex. For this purpose, a systematic review (January 2001-February 2021) was conducted on the PubMed, Scielo, and Cochrane search engines with the following terms: " complex (, , )" associated with "pathogenicity" or "epidemiology" or "antibiotics resistance" or "virulence factors" with language restrictions of English and Spanish.

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Article Synopsis
  • * A study analyzed literature from January 2020 to February 2021, identifying 89 publications on COVID-19 co-infections with various fungi, particularly affecting men over 40 with weakened immune systems.
  • * The research highlighted diagnostic challenges and the need for better detection methods, as antifungal treatment varies but fatality rates range from 11% to 100%, often due to misattribution of symptoms solely to COVID-19.
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Background: The molecular reclassification of the order Trichosporonales placed the medically relevant Trichosporon species into three genera of the family Trichosporonaceae: Cutaneotrichosporon, Trichosporon, and Apiotrichum. From the clinical and epidemiological standpoint, it is important to identify any species of the family Trichosporonaceae because they present different antifungal susceptibility profiles. In Mexico, little is known about trichosporonosis etiology because the fungi are identified through phenotypic methods.

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Article Synopsis
  • A multicenter study in Mexico aimed to evaluate the effectiveness of various tests for diagnosing progressive disseminated histoplasmosis (PDH) in individuals living with HIV.
  • The study involved 415 participants and compared the diagnostic accuracy of urine antigen tests and nested PCR methods, confirming PDH through blood, tissue cultures, or histopathology.
  • Results showed that the cHGEI IMMY test had the highest sensitivity (91.3%) among the urine tests, while nested PCR tests demonstrated varying sensitivity levels, indicating different diagnostic strengths for identifying this serious infection.
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The authors present seven cases of rhinocerebral mucormycosis associated to diabetes mellitus, which is a disease with epidemic proportions affecting individuals worldwide, particularly in developing countries, and which poses significant morbidity and mortality. Mucormycosis is an opportunistic fungal infection with high mortality and requires an invasive therapeutic approach to save the patient's life with significant morbidity and sequelae, thus prevention is crucial.

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Article Synopsis
  • A common fungal genus found indoors poses health risks and can cause various diseases in humans.
  • This study aimed to identify specific species from homes in Havana, Cuba, using molecular techniques along with traditional identification methods.
  • The findings revealed several new species records and highlighted the potential health risks associated with prolonged exposure to these fungi, particularly regarding respiratory issues like asthma.
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Since integrates strains resistant to multiple antifungals, research has been conducted focused on knowing which molecular mechanisms are involved. This review aims to summarize the results obtained in some of these studies. A search was carried out by consulting websites and online databases.

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Background: The most common aetiological agents of mucormycosis are Rhizopus, Mucor, Apophysomyces and Lichtheimia. Apophysomyces is comparatively rare, as it has been reported in less than 3% of mucormycosis cases. The genus Apophysomyces includes six species, and only A.

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