Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010

Background: The frequency of pulmonary mycoses has increased in the past few years specially in immunocompromised patients. Aim: To determine the frequency of invasive fungal diseases by analyzing lung secretion samples. Material and Methods: Samples of bronchoalveolar lavage (BAL) tracheal aspirati...

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Autores principales:	Cruz CH,Rodrigo, Vieille O,Peggy, Fuentes H,Daniela, Ponce E,Elliete, Piontelli L,Eduardo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Aspergillus fumigates Lung diseases, fungal Pneumonia, neumo-cystics
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000500006
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spelling	oai:scielo:S0034-988720120005000062013-11-06Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010Cruz CH,RodrigoVieille O,PeggyFuentes H,DanielaPonce E,EllietePiontelli L,Eduardo Aspergillus fumigates Lung diseases, fungal Pneumonia, neumo-cystics Background: The frequency of pulmonary mycoses has increased in the past few years specially in immunocompromised patients. Aim: To determine the frequency of invasive fungal diseases by analyzing lung secretion samples. Material and Methods: Samples of bronchoalveolar lavage (BAL) tracheal aspiration (TA) and induced sputum (IS) were obtained from patients of five hospitals in the Valparaíso Region for the diagnosis of invasive or non-invasive fungal disease, and pneumocystis (PCP), in the period 2007-2010. Clinical data of patients was obtained reviewing medical records or interviewing attending physicians. The diagnosis considered the clinical condition of the patient (immunocompromised or prior lung damage), computed tomography imaging, direct microscopy and cultures. European Organization for Research and Treatment of Cancer/Mycoses Study Group (EORTC/MSG) criteria was used for the diagnosis of invasive fungal diseases. Results: Ninety respiratory samples were received and 39 fungal infections were diagnosed. Eleven were probably invasive, seven were non-invasive and 21 were PCP. All patients with probable invasive disease had neutropenia. Most patients with non-invasive infections had bronchiectasis. Aspergillus fumigatus was the main causing agent in both invasive and non-invasive fungal diseases. Patients with PCP were mostly adults with AIDS and children with leukemia. The total mortality rate of patients with invasive fungal disease was of 73%. No deaths were recorded among patients with non-invasive disease. Among patients with PCP, three of 11 HIV and six of 10 non HIV subjects died. Conclusions: Aspergillus fumigatus predominates both in invasive and non-invasive pulmonary mycoses. The former has a high mortality. PCP occurred mainly in adult patients with HIV-AIDS.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.5 20122012-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000500006es10.4067/S0034-98872012000500006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aspergillus fumigates Lung diseases, fungal Pneumonia, neumo-cystics
spellingShingle	Aspergillus fumigates Lung diseases, fungal Pneumonia, neumo-cystics Cruz CH,Rodrigo Vieille O,Peggy Fuentes H,Daniela Ponce E,Elliete Piontelli L,Eduardo Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010
description	Background: The frequency of pulmonary mycoses has increased in the past few years specially in immunocompromised patients. Aim: To determine the frequency of invasive fungal diseases by analyzing lung secretion samples. Material and Methods: Samples of bronchoalveolar lavage (BAL) tracheal aspiration (TA) and induced sputum (IS) were obtained from patients of five hospitals in the Valparaíso Region for the diagnosis of invasive or non-invasive fungal disease, and pneumocystis (PCP), in the period 2007-2010. Clinical data of patients was obtained reviewing medical records or interviewing attending physicians. The diagnosis considered the clinical condition of the patient (immunocompromised or prior lung damage), computed tomography imaging, direct microscopy and cultures. European Organization for Research and Treatment of Cancer/Mycoses Study Group (EORTC/MSG) criteria was used for the diagnosis of invasive fungal diseases. Results: Ninety respiratory samples were received and 39 fungal infections were diagnosed. Eleven were probably invasive, seven were non-invasive and 21 were PCP. All patients with probable invasive disease had neutropenia. Most patients with non-invasive infections had bronchiectasis. Aspergillus fumigatus was the main causing agent in both invasive and non-invasive fungal diseases. Patients with PCP were mostly adults with AIDS and children with leukemia. The total mortality rate of patients with invasive fungal disease was of 73%. No deaths were recorded among patients with non-invasive disease. Among patients with PCP, three of 11 HIV and six of 10 non HIV subjects died. Conclusions: Aspergillus fumigatus predominates both in invasive and non-invasive pulmonary mycoses. The former has a high mortality. PCP occurred mainly in adult patients with HIV-AIDS.
author	Cruz CH,Rodrigo Vieille O,Peggy Fuentes H,Daniela Ponce E,Elliete Piontelli L,Eduardo
author_facet	Cruz CH,Rodrigo Vieille O,Peggy Fuentes H,Daniela Ponce E,Elliete Piontelli L,Eduardo
author_sort	Cruz CH,Rodrigo
title	Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010
title_short	Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010
title_full	Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010
title_fullStr	Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010
title_full_unstemmed	Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010
title_sort	micosis pulmonares en pacientes de la quinta región: período 2007-2010
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000500006
work_keys_str_mv	AT cruzchrodrigo micosispulmonaresenpacientesdelaquintaregionperiodo20072010 AT vieilleopeggy micosispulmonaresenpacientesdelaquintaregionperiodo20072010 AT fuenteshdaniela micosispulmonaresenpacientesdelaquintaregionperiodo20072010 AT ponceeelliete micosispulmonaresenpacientesdelaquintaregionperiodo20072010 AT piontellileduardo micosispulmonaresenpacientesdelaquintaregionperiodo20072010
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Micosis pulmonares en pacientes de la Quinta Región: Período 2007-2010

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