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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Fatal pulmonary sporotrichosis caused by Sporothrix brasiliensis in Northeast Brazil

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Author(s):
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Alves, Manoella do Monte [1] ; Milan, Eveline Pipolo [1] ; da Silva-Rocha, Walicyranison Plinio [2] ; de Sena da Costa, Alexandre Soares [2] ; Macielid, Bruno Araujo [3] ; Cavalcante Vale, Pedro Henrique [3] ; de Albuquerque, Paulo Roberto [3] ; Lima, Soraia Lopes [4] ; de Azevedo Melo, Analy Salles [4] ; Rodrigues, Anderson Messias [5] ; Chaves, Guilherme Maranhao [2]
Total Authors: 11
Affiliation:
[1] Univ Fed Rio Grande do Norte, Inst Med Trop, Dept Infectol, Natal, RN - Brazil
[2] Univ Fed Rio Grande do Norte, Lab Micol Med & Mol, Dept Anal Clin & Toxicol, Natal, RN - Brazil
[3] Univ Fed Rio Grande do Norte, Hosp Univ Onofre Lopes, Natal, RN - Brazil
[4] Univ Fed Sao Paulo, Disciplina Infectol, Lab Especial Micol, Sao Paulo - Brazil
[5] Univ Fed Sao Paulo, Lab Fungos Patogen Emergentes, Div Biol Celular, Dept Microbiol Imunobiol & Parasitol, Sao Paulo - Brazil
Total Affiliations: 5
Document type: Journal article
Source: PLoS Neglected Tropical Diseases; v. 14, n. 5 MAY 2020.
Web of Science Citations: 0
Abstract

Background A relevant case of pulmonary sporotrichosis due to Sporothrix brasiliensis is reported in a 50-year-old immunocompetent woman who had no history of skin trauma, but was in close contact with several stray cats at her nap time. The patient was hospitalized after 7 months of illness. The survey was conducted for pulmonary tuberculosis, an endemic disease in Brazil. She presented multiple central pulmonary nodules images, with central cavitation. Methodology/Principal findings The patient bronchoalveolar lavage was cultured and Sporothrix sp. growth was obtained. Then, the isolate (LMMM1097) was accurately identified to the species level by using species-specific polymerase chain reaction (PCR). Molecular diagnosis revealed that the emerging species Sporothrix brasiliensis was the agent of primary pulmonary sporotrichosis and the patient was treated with Amphotericin B lipid complex, but presented severe clinical symptoms and the fatal outcome was observed at day 25 after hospitalization. Conclusions/Significance Our report adds important contributions to the clinical-epidemiological features of sporotrichosis, showing the geographic expansion of the agent within different regions of Brazil and a rare clinical manifestation (primary pulmonary sporotrichosis) caused by the emerging agent S. brasiliensis in an immunocompetent female patient. (AU)

FAPESP's process: 17/27265-5 - Molecular epidemiology and genomic perspectives on the evolution and spread of emerging fungal pathogens
Grantee:Anderson Messias Rodrigues
Support Opportunities: Research Grants - Young Investigators Grants