Document Detail


Epidemic sporotrichosis.
MedLine Citation:
PMID:  18317034     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Epidemic sporotrichosis is rare and has been related to an environmental source of infection. There were no reports of epizootics before a cat-transmitted epidemic was reported in Rio de Janeiro, Brazil. In the present paper we review the data published on this epidemic. RECENT FINDINGS: From 1998 to 2004, 759 humans, 64 dogs and 1503 cats were diagnosed with sporotrichosis in the Evandro Chagas Clinical Research Institute. Of them, 85% of dogs and 83.4% of patients were reported to have had contact with cats with sporotrichosis, and 55.8% of the latter reported cat bites or scratches. Unusual manifestations were diagnosed in humans. Canine sporotrichosis presented as a self-limited mycosis. Feline sporotrichosis varied from subclinical infection to severe systemic disease with hematogenous dissemination of Sporothrix schenckii. Sporotrichosis in cats always preceded its occurrence among their owners and their domiciliary canine contacts. The zoonotic potential of cats was demonstrated by the isolation of S. schenckii from skin lesion fragments, and from material collected from their nasal and oral cavities. SUMMARY: Thus far it is not known why sporotrichosis takes on the proportion of an emergent zoonosis in Rio de Janeiro. We alert physicians and veterinarians working outside the epidemic area to the diagnostic challenges involved with sporotrichosis.
Authors:
Armando Schubach; Mônica Bastos de Lima Barros; Bodo Wanke
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Current opinion in infectious diseases     Volume:  21     ISSN:  0951-7375     ISO Abbreviation:  Curr. Opin. Infect. Dis.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-04     Completed Date:  2008-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809878     Medline TA:  Curr Opin Infect Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  129-33     Citation Subset:  IM    
Affiliation:
Serviço de Infectologia, Brasil bLaboratório de Micologia Médica, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. armando.schubach@ipec.fiocruz.br
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MeSH Terms
Descriptor/Qualifier:
Animals
Antifungal Agents / administration & dosage
Brazil / epidemiology
Cat Diseases / epidemiology,  microbiology,  transmission*
Cats
Disease Outbreaks*
Dog Diseases / epidemiology,  microbiology,  transmission*
Dogs
Environmental Exposure / adverse effects
Humans
Itraconazole / administration & dosage
Sporothrix / isolation & purification,  pathogenicity*
Sporotrichosis / epidemiology*,  microbiology,  transmission
Virulence
Zoonoses* / epidemiology,  microbiology,  transmission
Chemical
Reg. No./Substance:
0/Antifungal Agents; 84625-61-6/Itraconazole
Comments/Corrections
Comment In:
Curr Opin Infect Dis. 2008 Apr;21(2):119-21   [PMID:  18317032 ]

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