Evaluation of the clinical and epidemiological profile of patients with paracoccidioidomycosis in a public hospital

Authors

• Mauro Roberto Biá da Silva Universidade Estadual do Piauí
• Francisca Aline Amaral da Silva Universidade Estadual do Piauí
• Joice Pereira Carvalho Universidade Estadual do Piauí, Teresina, Piauí, Brasil.

DOI:

https://doi.org/10.17058/reci.v15i3.20197

Keywords:

Paracoccidioidomycosis, Epidemiology, Clinical aspects, Public hospitals, Retrospective studies

Abstract

Background and Objectives: The incidence of Paracoccidioidomycosis (PCM) may be underestimated due to the lack of mandatory notification of cases, as systemic mycoses in Brazil are not included in the national list of notifiable diseases. The aim of this study was to evaluate the clinical and epidemiological profile of patients with PCM at a reference center for infectious diseases in Piauí. Methods: This is a retrospective, quantitative-descriptive study. It was carried out in a hospital specializing in tropical diseases. A data collection form was used. We included medical records in which the patients had a final diagnosis of PCM, with a hospitalization date between October 2018 and September 2023. Medical records whose final diagnosis was not PCM and that the information was not complete in the medical record were excluded. Results: Of the inpatient records checked, 20 were confirmed. Of the patients affected, 100% were male, with the predominant age range between 30 and 60 years (60%), from rural areas, working as farmers (60%). The disease manifested itself in its chronic form (55%), with focal and multifocal lesions being equally prevalent (50%), with a onset time of less than one year (60%), and the presence of secretion (60%). Conclusion: The data obtained contributes to a better understanding and perception of the epidemiology of PCM, demonstrating the need to formulate public health policies capable of giving visibility to this neglected disease, which requires strategies for its prevention, diagnosis and treatment.

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