PMID- 28583268
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20191120
IS  - 2173-9188 (Electronic)
IS  - 1130-1406 (Linking)
VI  - 34
IP  - 3
DP  - 2017 Jul-Sep
TI  - Voice disorders in residual paracoccidioidomycosis in upper airways and digestive 
      tract.
PG  - 180-184
LID - S1130-1406(17)30048-7 [pii]
LID - 10.1016/j.riam.2017.01.003 [doi]
AB  - BACKGROUND: Paracoccidioidomycosis (PCM) is a systemic mycosis of acute and 
      chronic evolution, caused by species belonging to the genus Paracoccidioides. It 
      is considered the most prevalent systemic endemic mycosis in Latin America, with 
      cases in the tropical and subtropical regions. Residual PCM refers to the 
      fibrotic scar sequelae resulting from the disease treatment which, when 
      associated with collagen accumulation, leads to functional and anatomic 
      alterations in the organs. AIMS: The aim of this study was to evaluate the vocal 
      function of patients with residual PCM in upper airways and digestive tract. 
      METHODS: We performed a cross-sectional study in 2010 in a cohort of 21 patients 
      with residual PCM in upper airways and digestive tract. RESULTS: The average age 
      was 49.48+/-9.1 years, and only two (9.5%) patients were female. The study was 
      performed in the 1-113 month-period (median 27) after the end of drug treatment. 
      Five (23.8%) patients had alterations in the larynx as a sequela of the disease. 
      However, all patients had vocal changes in vocal auditory perceptual analysis by 
      GRBASI scale. The computerized acoustic analysis using the software Vox Metria, 
      showed that 11 patients (52.4%) presented alterations in jitter, 15 (71.4%) in 
      shimmer, 8 (38.1%) in F0, 4 (19%) in glottal to noise excitation (GNE), 7 (33.3%) 
      in the presence of noise and 12 (57.1%) in the presence of vibratory 
      irregularity. CONCLUSIONS: The great frequency of alterations in residual PCM 
      suggests that the patients in such phase could benefit from a multidisciplinary 
      treatment, offering them integral monitoring of the disease, including speech 
      rehabilitation after the PCM is healed.
CI  - Copyright (c) 2017 Asociacion Espanola de Micologia. Publicado por Elsevier Espana, 
      S.L.U. All rights reserved.
FAU - da Costa, Ananda Dutra
AU  - da Costa AD
AD  - National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, 
      Rio de Janeiro, RJ, Brazil.
FAU - Vargas, Amanda Pereira
AU  - Vargas AP
AD  - Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
FAU - Lucena, Marcia Mendonca
AU  - Lucena MM
AD  - National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, 
      Rio de Janeiro, RJ, Brazil; Federal University of Rio de Janeiro, Rio de Janeiro, 
      RJ, Brazil.
FAU - Ruas, Ana Cristina Nunes
AU  - Ruas ACN
AD  - Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
FAU - Braga, Fernanda da Silva Santos
AU  - Braga FDSS
AD  - National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, 
      Rio de Janeiro, RJ, Brazil.
FAU - Bom-Braga, Mateus Pereira
AU  - Bom-Braga MP
AD  - National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, 
      Rio de Janeiro, RJ, Brazil.
FAU - Bom-Braga, Frederico Pereira
AU  - Bom-Braga FP
AD  - National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, 
      Rio de Janeiro, RJ, Brazil.
FAU - do Valle, Antonio Carlos Francesconi
AU  - do Valle ACF
AD  - National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, 
      Rio de Janeiro, RJ, Brazil.
FAU - Igreja, Ricardo Pereira
AU  - Igreja RP
AD  - Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
FAU - Valete-Rosalino, Claudia Maria
AU  - Valete-Rosalino CM
AD  - National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, 
      Rio de Janeiro, RJ, Brazil; Federal University of Rio de Janeiro, Rio de Janeiro, 
      RJ, Brazil. Electronic address: claudia.valete@ini.fiocruz.br.
LA  - eng
PT  - Journal Article
DEP - 20170603
PL  - Spain
TA  - Rev Iberoam Micol
JT  - Revista iberoamericana de micologia
JID - 9425531
OTO - NOTNLM
OT  - Calidad vocal
OT  - Disfonia
OT  - Dysphonia
OT  - Laringe
OT  - Larynx
OT  - Logopedia
OT  - Paracoccidioidomicosis
OT  - Paracoccidioidomycosis
OT  - Speech therapy
OT  - Vocal quality
EDAT- 2017/06/07 06:00
MHDA- 2017/06/07 06:01
CRDT- 2017/06/07 06:00
PHST- 2016/05/18 00:00 [received]
PHST- 2016/11/18 00:00 [revised]
PHST- 2017/01/04 00:00 [accepted]
PHST- 2017/06/07 06:00 [pubmed]
PHST- 2017/06/07 06:01 [medline]
PHST- 2017/06/07 06:00 [entrez]
AID - S1130-1406(17)30048-7 [pii]
AID - 10.1016/j.riam.2017.01.003 [doi]
PST - ppublish
SO  - Rev Iberoam Micol. 2017 Jul-Sep;34(3):180-184. doi: 10.1016/j.riam.2017.01.003. 
      Epub 2017 Jun 3.