PMID- 24698656 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20151119 IS - 1439-0507 (Electronic) IS - 0933-7407 (Linking) VI - 57 IP - 9 DP - 2014 Sep TI - Paracoccidioidomycosis in Mexico: clinical and epidemiological data from 93 new cases (1972-2012). PG - 525-30 LID - 10.1111/myc.12190 [doi] AB - Paracoccidioidomycosis (PCM) is an endemic systemic infection in several countries of Latin America. The few registered cases in Mexico most likely do not reflect the real frequency. Disseminate the epidemiological and clinical data of unreported cases of PCM in Mexico from 1972 until 2012 is the aim of this work. Epidemiological and clinical information of non-published cases of PCM was requested from the principal mycological diagnosis centres in Mexico. A total of 93 cases were received. The infection was found predominantly in men (95.7%), peasants (88.5%) and individual between 31 and 60 years of age. Most of the cases were found in tropical areas of the Gulf of Mexico (54.84%) and the Pacific littoral (20.3%). The main sites of dissemination were the oral mucosa (39.38%) and skin (34.05%). The most effective treatments were itraconazole alone and the combination of itraconazole with sulfamethoxazole-trimethoprim. PCM is a subdiagnosed pathology in Mexico. Therefore, adequate training is necessary to determine the current status of this mycosis. CI - (c) 2014 Blackwell Verlag GmbH. FAU - Lopez-Martinez, Ruben AU - Lopez-Martinez R AD - Departamento de Microbiologia y Parasitologia, Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico, D. F., Mexico. FAU - Hernandez-Hernandez, Francisca AU - Hernandez-Hernandez F FAU - Mendez-Tovar, Luis Javier AU - Mendez-Tovar LJ FAU - Manzano-Gayosso, Patricia AU - Manzano-Gayosso P FAU - Bonifaz, Alexandro AU - Bonifaz A FAU - Arenas, Roberto AU - Arenas R FAU - Padilla-Desgarennes, Maria Del Carmen AU - Padilla-Desgarennes Mdel C FAU - Estrada, Roberto AU - Estrada R FAU - Chavez, Guadalupe AU - Chavez G LA - eng PT - Journal Article DEP - 20140402 PL - Germany TA - Mycoses JT - Mycoses JID - 8805008 RN - 0 (Antifungal Agents) RN - 304NUG5GF4 (Itraconazole) RN - 8064-90-2 (Trimethoprim, Sulfamethoxazole Drug Combination) SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Antifungal Agents/therapeutic use MH - Child MH - Female MH - Humans MH - Itraconazole/therapeutic use MH - Male MH - Mexico/epidemiology MH - Middle Aged MH - Mouth Mucosa/microbiology MH - Occupational Exposure MH - Paracoccidioidomycosis/drug therapy/*epidemiology/*pathology MH - Sex Factors MH - Skin/microbiology MH - Topography, Medical MH - Trimethoprim, Sulfamethoxazole Drug Combination/therapeutic use MH - Young Adult OTO - NOTNLM OT - Paracoccidioides brasiliensis OT - Paracoccidioidomycosis OT - systemic mycosis EDAT- 2014/04/05 06:00 MHDA- 2015/03/31 06:00 CRDT- 2014/04/05 06:00 PHST- 2013/09/11 00:00 [received] PHST- 2014/01/15 00:00 [revised] PHST- 2014/02/20 00:00 [accepted] PHST- 2014/04/05 06:00 [entrez] PHST- 2014/04/05 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] AID - 10.1111/myc.12190 [doi] PST - ppublish SO - Mycoses. 2014 Sep;57(9):525-30. doi: 10.1111/myc.12190. Epub 2014 Apr 2.