Caracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014

BACKGROUND: Sporothricosis is endemic in numerous Latin American countries and the rest of the world. In Peru is concentrated in regions with warm and humid climate being little known in the rest of the country. AIM: To describe the epidemiological, clinical and laboratory characteristics of patient...

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Autores principales: James A Oyarce, Coralith García, Jorge Alave, Beatriz Bustamante
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Publicado: 2016
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author James A Oyarce
Coralith García
Jorge Alave
Beatriz Bustamante
author_browse Beatriz Bustamante
Coralith García
James A Oyarce
Jorge Alave
author_facet James A Oyarce
Coralith García
Jorge Alave
Beatriz Bustamante
author_sort James A Oyarce
collection Producción científica
description BACKGROUND: Sporothricosis is endemic in numerous Latin American countries and the rest of the world. In Peru is concentrated in regions with warm and humid climate being little known in the rest of the country. AIM: To describe the epidemiological, clinical and laboratory characteristics of patients diagnosed of sporotrichosis in a tertiary-care level hospital in Lima, Peru from 1991 to 2014. METHODS: This was a retrospective, case series. RESULTS: Ninety four patients were involved; most of them were male adults. This condition was acquired more frequently in Cajamarca, Apurímac, and Amazonas. Fixed and lymphocutaneous form were the most frequent forms of presentation in adults and were mostly distributed in upper limbs. Lesions located in head and neck were most frequent in children. Comorbidities were present in 15% of patients and were more frequent in those who presented disseminated cutaneous form. Seventy eight percent of cultures from skin lesions were positive within 7 days. The time to positivity of cultures was longer if the sample came from skin biopsies than skin scraping or skin aspiration. CONCLUSIONS: Most cases of sporotrichosis were acquired in areas of extreme poverty in Peru. The clinical, epidemiological and laboratory findings were similar to those reported elsewhere. The time to positivity of cultures varies based on the type of skin sample. This finding needs to be further evaluated in studies with an increased number of cases.
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spelling oai:cris.upeu.edu.pe:20.500.15037/6582026-10-30T16:14:45ZCaracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014James A OyarceCoralith GarcíaJorge AlaveBeatriz BustamanteSporotrichosisMedicineEpidemiologyTropical medicineHead and neckPediatricsDemographyDermatologySurgeryInternal medicinePathologySociologySporotrichosisMedicineEpidemiologyTropical medicineHead and neckPediatricsDemographyDermatologySurgeryInternal medicinePathologyAdolescentAdolescentAdolescentAdultAdultAdultAgedAgedAgedAged, 80 and overAged, 80 and overAged, 80 and overAntifungal Agents therapeutic useAntifungal Agents therapeutic useAntifungal Agents therapeutic useBiopsyBiopsyBiopsyChildChildChildChild, PreschoolChild, PreschoolChild, PreschoolFemaleFemaleFemaleHumansHumansHumansMaleMaleMaleMiddle AgedMiddle AgedMiddle AgedPeru epidemiologyPeru epidemiologyPeru epidemiologyPoverty AreasPoverty AreasPoverty AreasRetrospective StudiesRetrospective StudiesRetrospective StudiesSocioeconomic FactorsSocioeconomic FactorsSocioeconomic FactorsSporotrichosis drug therapySporotrichosis drug therapySporotrichosis drug therapySporotrichosis epidemiologySporotrichosis epidemiologySporotrichosis epidemiologySporotrichosis pathologySporotrichosis pathologySporotrichosis pathologySporothrix isolation & purificationSporothrix isolation & purificationSporothrix isolation & purificationTime FactorsTime FactorsTime FactorsYoung AdultYoung AdultYoung AdultTertiary Care Centers statistics & numerical dataTertiary Care Centers statistics & numerical dataTertiary Care Centers statistics & numerical dataHealth Sciences Medicine Epidemiology Fungal Infections and StudiesHealth Sciences Medicine Epidemiology Nail Diseases and TreatmentsPhysical Sciences Environmental Science Health, Toxicology and Mutagenesis Insects and Parasite InteractionsBACKGROUND: Sporothricosis is endemic in numerous Latin American countries and the rest of the world. In Peru is concentrated in regions with warm and humid climate being little known in the rest of the country. AIM: To describe the epidemiological, clinical and laboratory characteristics of patients diagnosed of sporotrichosis in a tertiary-care level hospital in Lima, Peru from 1991 to 2014. METHODS: This was a retrospective, case series. RESULTS: Ninety four patients were involved; most of them were male adults. This condition was acquired more frequently in Cajamarca, Apurímac, and Amazonas. Fixed and lymphocutaneous form were the most frequent forms of presentation in adults and were mostly distributed in upper limbs. Lesions located in head and neck were most frequent in children. Comorbidities were present in 15% of patients and were more frequent in those who presented disseminated cutaneous form. Seventy eight percent of cultures from skin lesions were positive within 7 days. The time to positivity of cultures was longer if the sample came from skin biopsies than skin scraping or skin aspiration. CONCLUSIONS: Most cases of sporotrichosis were acquired in areas of extreme poverty in Peru. The clinical, epidemiological and laboratory findings were similar to those reported elsewhere. The time to positivity of cultures varies based on the type of skin sample. This finding needs to be further evaluated in studies with an increased number of cases.Articlehttps://pubmed.ncbi.nlm.nih.gov/27598283https://scielo.conicyt.cl/pdf/rci/v33n3/art12.pdfhttps://doi.org/10.4067/s0716-1018201600030001210.4067/s0716-10182016000300012https://hdl.handle.net/20.500.15037/658W2511538651esRevista chilena de infectología0716-10180717-63412016-06-012026-06-13T09:29:22Z2026-06-13T09:29:22Z
spellingShingle Sporotrichosis
Medicine
Epidemiology
Tropical medicine
Head and neck
Pediatrics
Demography
Dermatology
Surgery
Internal medicine
Pathology
Sociology
Sporotrichosis
Medicine
Epidemiology
Tropical medicine
Head and neck
Pediatrics
Demography
Dermatology
Surgery
Internal medicine
Pathology
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Aged
Aged
Aged
Aged, 80 and over
Aged, 80 and over
Aged, 80 and over
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Biopsy
Biopsy
Biopsy
Child
Child
Child
Child, Preschool
Child, Preschool
Child, Preschool
Female
Female
Female
Humans
Humans
Humans
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Peru epidemiology
Peru epidemiology
Peru epidemiology
Poverty Areas
Poverty Areas
Poverty Areas
Retrospective Studies
Retrospective Studies
Retrospective Studies
Socioeconomic Factors
Socioeconomic Factors
Socioeconomic Factors
Sporotrichosis drug therapy
Sporotrichosis drug therapy
Sporotrichosis drug therapy
Sporotrichosis epidemiology
Sporotrichosis epidemiology
Sporotrichosis epidemiology
Sporotrichosis pathology
Sporotrichosis pathology
Sporotrichosis pathology
Sporothrix isolation & purification
Sporothrix isolation & purification
Sporothrix isolation & purification
Time Factors
Time Factors
Time Factors
Young Adult
Young Adult
Young Adult
Tertiary Care Centers statistics & numerical data
Tertiary Care Centers statistics & numerical data
Tertiary Care Centers statistics & numerical data
Health Sciences Medicine Epidemiology Fungal Infections and Studies
Health Sciences Medicine Epidemiology Nail Diseases and Treatments
Physical Sciences Environmental Science Health, Toxicology and Mutagenesis Insects and Parasite Interactions
James A Oyarce
Coralith García
Jorge Alave
Beatriz Bustamante
Caracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014
title Caracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014
title_full Caracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014
title_fullStr Caracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014
title_full_unstemmed Caracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014
title_short Caracterización epidemiológica, clínica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en Lima-Perú, entre los años 1991 y 2014
title_sort caracterizacion epidemiologica clinica y de laboratorio de esporotricosis en pacientes de un hospital de tercer nivel en lima peru entre los anos 1991 y 2014
topic Sporotrichosis
Medicine
Epidemiology
Tropical medicine
Head and neck
Pediatrics
Demography
Dermatology
Surgery
Internal medicine
Pathology
Sociology
Sporotrichosis
Medicine
Epidemiology
Tropical medicine
Head and neck
Pediatrics
Demography
Dermatology
Surgery
Internal medicine
Pathology
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Aged
Aged
Aged
Aged, 80 and over
Aged, 80 and over
Aged, 80 and over
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Biopsy
Biopsy
Biopsy
Child
Child
Child
Child, Preschool
Child, Preschool
Child, Preschool
Female
Female
Female
Humans
Humans
Humans
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Peru epidemiology
Peru epidemiology
Peru epidemiology
Poverty Areas
Poverty Areas
Poverty Areas
Retrospective Studies
Retrospective Studies
Retrospective Studies
Socioeconomic Factors
Socioeconomic Factors
Socioeconomic Factors
Sporotrichosis drug therapy
Sporotrichosis drug therapy
Sporotrichosis drug therapy
Sporotrichosis epidemiology
Sporotrichosis epidemiology
Sporotrichosis epidemiology
Sporotrichosis pathology
Sporotrichosis pathology
Sporotrichosis pathology
Sporothrix isolation & purification
Sporothrix isolation & purification
Sporothrix isolation & purification
Time Factors
Time Factors
Time Factors
Young Adult
Young Adult
Young Adult
Tertiary Care Centers statistics & numerical data
Tertiary Care Centers statistics & numerical data
Tertiary Care Centers statistics & numerical data
Health Sciences Medicine Epidemiology Fungal Infections and Studies
Health Sciences Medicine Epidemiology Nail Diseases and Treatments
Physical Sciences Environmental Science Health, Toxicology and Mutagenesis Insects and Parasite Interactions
topic_facet Sporotrichosis
Medicine
Epidemiology
Tropical medicine
Head and neck
Pediatrics
Demography
Dermatology
Surgery
Internal medicine
Pathology
Sociology
Sporotrichosis
Medicine
Epidemiology
Tropical medicine
Head and neck
Pediatrics
Demography
Dermatology
Surgery
Internal medicine
Pathology
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Aged
Aged
Aged
Aged, 80 and over
Aged, 80 and over
Aged, 80 and over
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Biopsy
Biopsy
Biopsy
Child
Child
Child
Child, Preschool
Child, Preschool
Child, Preschool
Female
Female
Female
Humans
Humans
Humans
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Peru epidemiology
Peru epidemiology
Peru epidemiology
Poverty Areas
Poverty Areas
Poverty Areas
Retrospective Studies
Retrospective Studies
Retrospective Studies
Socioeconomic Factors
Socioeconomic Factors
Socioeconomic Factors
Sporotrichosis drug therapy
Sporotrichosis drug therapy
Sporotrichosis drug therapy
Sporotrichosis epidemiology
Sporotrichosis epidemiology
Sporotrichosis epidemiology
Sporotrichosis pathology
Sporotrichosis pathology
Sporotrichosis pathology
Sporothrix isolation & purification
Sporothrix isolation & purification
Sporothrix isolation & purification
Time Factors
Time Factors
Time Factors
Young Adult
Young Adult
Young Adult
Tertiary Care Centers statistics & numerical data
Tertiary Care Centers statistics & numerical data
Tertiary Care Centers statistics & numerical data
Health Sciences Medicine Epidemiology Fungal Infections and Studies
Health Sciences Medicine Epidemiology Nail Diseases and Treatments
Physical Sciences Environmental Science Health, Toxicology and Mutagenesis Insects and Parasite Interactions
url https://pubmed.ncbi.nlm.nih.gov/27598283
https://scielo.conicyt.cl/pdf/rci/v33n3/art12.pdf
https://doi.org/10.4067/s0716-10182016000300012
https://hdl.handle.net/20.500.15037/658
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