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seroepidemiology of paracoccidioides brasiliensis infection in horses from rio grande do sul, brazil.paracoccidioides brasiliensis is the etiological agent of the major systemic mycosis in brazil, called paracoccidioidomycosis. although the rio grande do sul is considered an endemic area of the disease, there are few studies on the ecology of p. brasiliensis in the state. therefore, this study aimed to evaluate the infection of p. brasiliensis in horses from the mesoregion of southwest riograndense, using these animals as sentinels. serological techniques, such as double immunodiffusion in agar ...201526273267
evaluating common humoral responses against fungal infections with yeast protein microarrays.we profiled the global immunoglobulin response against fungal infection by using yeast protein microarrays. groups of cd-1 mice were infected systemically with human fungal pathogens (coccidioides posadasii, candida albicans, or paracoccidioides brasiliensis) or inoculated with pbs as a control. another group was inoculated with heat-killed yeast (hky) of saccharomyces cerevisiae. after 30 days, serum from mice in the groups were collected and used to probe s. cerevisiae protein microarrays cont ...201526258609
human neutrophils produce extracellular traps against paracoccidioides brasiliensis.neutrophils play an important role as effector cells and contribute to the resistance of the host against microbial pathogens. neutrophils are able to produce extracellular traps (nets) in response to medically important fungi, including aspergillus spp., candida albicans and cryptococcus gattii. however, net production in response to paracoccidioides brasiliensis has yet to be studied. we have demonstrated that human neutrophils produce nets against both conidia and yeasts of p. brasiliensis. a ...201525701733
compositional and immunobiological analyses of extracellular vesicles released by candida albicans.the release of extracellular vesicles (ev) by fungal organisms is considered an alternative transport mechanism to trans-cell wall passage of macromolecules. previous studies have revealed the presence of ev in culture supernatants from fungal pathogens, such as cryptococcus neoformans, histoplasma capsulatum, paracoccidioides brasiliensis, sporothrix schenckii, malassezia sympodialis and candida albicans. here we investigated the size, composition, kinetics of internalization by bone marrow-der ...201525287304
cell wall proteome of pathogenic fungi.a fast development of a wide variety of proteomic techniques supported by mass spectrometry coupled with high performance liquid chromatography has been observed in recent years. it significantly contributes to the progress in research on the cell wall, very important part of the cells of pathogenic fungi. this complicated structure composed of different polysaccharides, proteins, lipids and melanin, plays a key role in interactions with the host during infection. changes in the set of the surfa ...201526192771
could histoplasma capsulatum be related to healthcare-associated infections?healthcare-associated infections (hai) are described in diverse settings. the main etiologic agents of hai are bacteria (85%) and fungi (13%). some factors increase the risk for hai, particularly the use of medical devices; patients with severe cuts, wounds, and burns; stays in the intensive care unit, surgery, and hospital reconstruction works. several fungal hai are caused by candida spp., usually from an endogenous source; however, cross-transmission via the hands of healthcare workers or con ...201526106622
neglected fungal zoonoses: hidden threats to man and animals.zoonotic fungi can be naturally transmitted between animals and humans, and in some cases cause significant public health problems. a number of mycoses associated with zoonotic transmission are among the group of the most common fungal diseases, worldwide. it is, however, notable that some fungal diseases with zoonotic potential have lacked adequate attention in international public health efforts, leading to insufficient attention on their preventive strategies. this review aims to highlight so ...201525769429
immunodiagnosis of paracoccidioidomycosis due to paracoccidioides brasiliensis using a latex test: detection of specific antibody anti-gp43 and specific antigen gp43.paracoccidioidomycosis (pcm) is a life-threatening systemic disease and is a neglected public health problem in many endemic regions of latin america. though several diagnostic methods are available, almost all of them present with some limitations.201525679976
detrimental effect of fungal 60-kda heat shock protein on experimental paracoccidioides brasiliensis infection.the genus paracoccidioides comprises species of dimorphic fungi that cause paracoccidioidomycosis (pcm), a systemic disease prevalent in latin america. here, we investigated whether administration of native 60-kda heat shock protein of p. brasiliensis (npbhsp60) or its recombinant counterpart (rpbhsp60) affected the course of experimental pcm. mice were subcutaneously injected with npbhsp60 or rpbhsp60 emulsified in complete's freund adjuvant (cfa) at three weeks after intravenous injection of p ...201627598463
decreased expression of 14-3-3 in paracoccidioides brasiliensis confirms its involvement in fungal pathogenesis.the interaction between the fungal pathogen paracoccidioides brasiliensis and host cells is usually mediated by specific binding events between adhesins on the fungal surface and receptors on the host extracellular matrix or cell surface. one molecule implicated in the p. brasiliensis-host interaction is the 14-3-3 protein. the 14-3-3 protein belongs to a family of conserved regulatory molecules that are expressed in all eukaryotic cells and are involved in diverse cellular functions. here, we i ...201626646480
tolerogenic plasmacytoid dendritic cells control paracoccidioides brasiliensis infection by inducting regulatory t cells in an ido-dependent manner.plasmacytoid dendritic cells (pdcs), considered critical for immunity against viruses, were recently associated with defense mechanisms against fungal infections. however, the immunomodulatory function of pdcs in pulmonary paracoccidiodomycosis (pcm), an endemic fungal infection of latin america, has been poorly defined. here, we investigated the role of pdcs in the pathogenesis of pcm caused by the infection of 129sv mice with 1 x 106 p. brasiliensis-yeasts. in vitro experiments showed that p. ...201627992577
a conserved dimorphism-regulating histidine kinase controls the dimorphic switching in paracoccidioides brasiliensis.paracoccidioides brasiliensis and p. lutzii, thermally dimorphic fungi, are the causative agents of paracoccidioidomycosis (pcm). paracoccidioides infection occurs when conidia or mycelium fragments are inhaled by the host, which causes the paracoccidioides cells to transition to the yeast form. the development of disease requires conidia inside the host alveoli to differentiate into yeast cells in a temperature-dependent manner. we describe the presence of a two-component signal transduction sy ...201627268997
a few shared up-regulated genes may influence conidia to yeast transformation in dimorphic fungal pathogens.the small number of fungi that commonly cause disease in normal people share the capacity to grow as mycelia in the soil at 25°c and as yeast (or spherules) in mammals at 37°c. this remarkable conversion has long been a topic of interest in medical mycology. the conidia to yeast conversion has been studied by transcription profiling in several fungal species, including histoplasma capsulatum, paracoccidioides brasiliensis, coccidioides spp., blastomyces dermatitidis, and talaromyces marneffei on ...201627118798
mycologic endocrinology.the interactions of fungi and chemical messenger molecules, hormones or pheromones, are addressed in this chapter. these interactions include mammalian fungal pathogens, also plant pathogens, or non-pathogenic fungi, which can result in functional responses in receptor- or non-receptor-mediated fashions. endogenous ligands in the fungi have been demonstrated to be important for mating in a number of systems. mammalian hormones have been demonstrated to have stimulatory or inhibitory effects on g ...201626589227
extracellular vesicle-associated transitory cell wall components and their impact on the interaction of fungi with host cells.classic cell wall components of fungi comprise the polysaccharides glucans and chitin, in association with glycoproteins and pigments. during the last decade, however, system biology approaches clearly demonstrated that the composition of fungal cell walls include atypical molecules historically associated with intracellular or membrane locations. elucidation of mechanisms by which many fungal molecules are exported to the extracellular space suggested that these atypical components are transito ...201627458437
cokeromyces recurvatus in a cervical papanicolaou test: a case report of a rare fungus with a brief review of the literature.here we report a rare case of cokeromyces recurvatus in a pap test in an asymptomatic pregnant patient. each liquid-based pap slide contained multiple rounded yeast-like forms measuring 10-30 µm including some profiles with peripheral small buds. the background had neither epithelial abnormality nor any significant inflammation. a positive silver stain aided in confirming a fungal organism. rare fungi were considered including paracoccidioides brasiliensis due to the 'mariner's wheel' morphology ...201626800441
characterization of paracoccidioides brasiliensis by ft-ir spectroscopy and nanotechnology.paracoccidioides brasiliensis, the etiological agent of paracoccidioidomycosis, is a dimorphic fungus existing as mycelia in the environment (or at 25°c in vitro) and as yeast cells in the human host (or at 37°c in vitro). because mycological examination of lesions in patients frequently is unable to show the presence of the fungus and serological tests can misdiagnose the disease with other mycosis, the development of new approach's for molecular identification of p. brasiliensis spurges is nee ...201626241825
distinct patterns of yeast cell morphology and host responses induced by representative strains of paracoccidioides brasiliensis (pb18) and paracoccidioides lutzii (pb01).paracoccidioidomycosis (pcm) is a systemic mycosis, widespread in latin america. pcm is a granulomatous disease characterized by a polymorphism of lesions depending on the pathogen's virulence, the immune status of the host and its genetic susceptibility. the thermodimorphic fungus paracoccidioides brasiliensis was considered the only etiologic agent of pcm, yet recent works have shown significant genetic diversity among different strains of p. brasiliensis. therefore, it has been proposed for a ...201626384386
paracoccidioides brasiliensis induces recruitment of α3 and α5 integrins into epithelial cell membrane rafts, leading to cytokine secretion.paracoccidioides brasiliensis is one of the etiological agents of paracoccidioidomycosis, a human systemic mycosis, highly prevalent in latin america. in the present work, we demonstrate that p. brasiliensis yeasts promote il-6 and il-8 secretion by the human lung epithelial cell line a549 in an integrin-dependent manner. in fact, small interfering rna directed to α3 and α5 integrins decreased il-6 and il-8 levels in p. brasiliensis-infected a549 cell cultures. this fungus also led to an increas ...201626369712
participation of dectin-1 receptor on nets release against paracoccidioides brasiliensis: role on extracellular killing.paracoccidioides brasiliensis is a dimorphic fungus from the paracoccidioides genus, which is the causative agent of paracoccidioidomycosis, a chronic, subacute or acute mycosis, with visceral and cutaneous involvement. this disease that is acquired through inhalation primarily attacks the lungs but, can spread to other organs. phagocytic cells as neutrophils play an important role during innate immune response against this fungus, but studies on antifungal activities of these cells are scarce. ...201626416210
advances and challenges in paracoccidioidomycosis serology caused by paracoccidioides species complex: an update.understanding the possible methodologies for the rapid and inexpensive identification of fungal infections is essential for disease diagnosis, but there are some limitations. to help with this problem, serological methods that detect antigens or antibodies are widely used and are useful for the diagnosis of paracoccidioidomycosis (pcm) through the detection of gp43, which is the main antigen employed for the immunodiagnosis of this disease caused by paracoccidioides brasiliensis. however, the us ...201626494541
serological investigation into paracoccidioides brasiliensis infection in dogs from southern rio grande do sul, brazil.paracoccidioides brasiliensis is a dimorphic fungus and major cause of paracoccidioidomycosis (pcm), which is a systemic and endemic mycosis in brazil. in southern brazil, an increased number of cases were detected since the 1990 s. therefore, in order to determine areas with the presence of the fungus, this study aimed to investigate infection by p. brasiliensis in dogs from southern brazil. indirect elisa was used to detect antibodies against p. brasiliensis gp43. one hundred and ninety-six st ...201626608381
tlr 9 involvement in early protection induced by immunization with rpb27 against paracoccidioidomycosis.paracoccidioidomycosis is caused by fungi of the paracoccidioides genus and constitutes the most prevalent deep mycosis in latin america. toll-like receptors promote immune response against infectious agents. recently, it was reported that tlr9 is crucial for mice survival during the first 48 h of p. brasiliensis infection. in this study, we used cpg oligodeoxynucleotide motif as an adjuvant with and without rpb27 to immunize mice against paracoccidioidomycosis. cpg adjuvant induced differential ...201626597327
depletion of neutrophils exacerbates the early inflammatory immune response in lungs of mice infected with paracoccidioides brasiliensis.neutrophils predominate during the acute phase of the paracoccidioides brasiliensis infection. herein, we determined the role of the neutrophil during the early stages of experimental pulmonary paracoccidioidomycosis using a monoclonal antibody (mab) specific for neutrophils. male balb/c mice were inoculated intranasally with 1.5 × 10(6) or 2 × 10(6) p. brasiliensis yeast cells. the mab was administered 24 h before infection, followed by doses every 48 h until mice were sacrificed. survival time ...201627642235
therapeutic effect of monophosphoryl lipid a administration on paracoccidioides brasiliensis-infected mice.the lack of antifungals with low toxicity and short-term therapy for patients with paracoccidioidomycosis (pcm) led us to evaluate adjuvants in immunotherapeutic intervention. we have previously shown complete freund's adjuvant (cfa) to be therapeutic on experimental pcm. owing to cfa toxicity, here we tested adjuvants approved for clinical use or in preclinical phase in experimental mouse pcm. of all, only monophosporyl lipid a (mpla) demonstrates a beneficial effect, by reducing the fungal bur ...201627639241
identification and characterisation of elongation factor tu, a novel protein involved in paracoccidioides brasiliensis-host interaction.paracoccidioides spp., which are temperature-dependent dimorphic fungi, are responsible for the most prevalent human systemic mycosis in latin america, the paracoccidioidomycosis. the aim of this study was to characterise the involvement of elongation factor tu (ef-tu) in paracoccidioides brasiliensis-host interaction. adhesive properties were examined using recombinant pbef-tu proteins and the respective polyclonal anti-rpbef-tu antibody. immunogold analysis demonstrated the surface location of ...201627634774
amphotericin b lipid complex in the treatment of severe paracoccidioidomycosis: a case series.amphotericin b deoxycholate is the main option for intravenous (i.v.) treatment of severe paracoccidioidomycosis (pcm). this is the first report of amphotericin b lipid complex (ablc) in the treatment of pcm. among 28 patients, cure was achieved in all patients (100%) using ablc. mean and median daily doses of ablc were 3.39 mg/kg/day and 3.35 mg/kg/day, respectively. ablc may be a choice in the treatment of severe forms of pcm or when i.v. options are required.201627612594
real time polymerase chain reaction (rt-pcr): a new patent to diagnostic purposes for paracoccidioidomycosis.paracoccidioidomycosis (pcm) is a systemic mycosis caused by dimorphic fungi paracoccidioides brasiliensis and p. lutzii. it is prevalent in latin american, mainly in brazil. therefore, pcm has fundamental impact in the brazilian global economy, especially in public health system, since it is affecting economical active population in different country regions.201627593543
environmental mapping of paracoccidioides spp. in brazil reveals new clues into genetic diversity, biogeography and wild host association.paracoccidioides brasiliensis and paracoccidioides lutzii are the etiological agents of paracoccidioidomycosis (pcm), and are easily isolated from human patients. however, due to human migration and a long latency period, clinical isolates do not reflect the spatial distribution of these pathogens. molecular detection of p. brasiliensis and p. lutzii from soil, as well as their isolation from wild animals such as armadillos, are important for monitoring their environmental and geographical distr ...201627045486
antifungal activity of extracts from atacama desert fungi against paracoccidioides brasiliensis and identification of aspergillus felis as a promising source of natural bioactive compounds.fungi of the genus paracoccidioides are responsible for paracoccidioidomycosis. the occurrence of drug toxicity and relapse in this disease justify the development of new antifungal agents. compounds extracted from fungal extract have showing antifungal activity. extracts of 78 fungi isolated from rocks of the atacama desert were tested in a microdilution assay against paracoccidioides brasiliensis pb18. approximately 18% (5) of the extracts showed minimum inhibitory concentration (mic) values ≤ ...201627008375
thioridazine inhibits gene expression control of the cell wall signaling pathway (cwi) in the human pathogenic fungus paracoccidioides brasiliensis.paracoccidioides brasiliensis is a thermodimorphic fungus associated with paracoccidioidomycosis (pcm), the most common systemic mycosis in latin america. pcm treatment involves a long-term chemotherapeutic approach and relapses occur at an alarming frequency. moreover, the emergence of strains with increased drug-resistance phenotypes puts constant pressure on the necessity to develop new alternatives to treat systemic mycoses. in this work, we show that the phenothiazine (ptz) derivative thior ...201626956010
paracoccidioidomycosis in a renal transplant recipient.paracoccidioidomycosis (pcm) is the most common endemic mycosis in latin america. the etiological agents, which comprise two species, paracoccidioides brasiliensis and p. lutzii, are thermodimorphic fungi that usually affect previously healthy adults. they primarily involve the lungs and then disseminate to other organs. such mycosis is rare in organ transplant recipients; there have been only three cases reported in literature, until now. we report a case of pcm in a renal transplant recipient ...201626910451
antibodies against glycolipids enhance antifungal activity of macrophages and reduce fungal burden after infection with paracoccidioides brasiliensis.paracoccidioidomycosis is a fungal disease endemic in latin america. polyclonal antibodies to acidic glycosphingolipids (gsls) from paracoccidioides brasiliensis opsonized yeast forms in vitro increasing phagocytosis and reduced the fungal burden of infected animals. antibodies to gsl were active in both prophylactic and therapeutic protocols using a murine intratracheal infection model. pathological examination of the lungs of animals treated with antibodies to gsl showed well-organized granulo ...201626870028
paracoccidioides brasiliensis interacts with dermal dendritic cells and keratinocytes in human skin and oral mucosa lesions.paracoccidioidomycosis (pcm) is a systemic disease caused by the fungus paracoccidioides brasiliensis and paracoccidioides lutzii. in pcm the skin and oral mucosa are often affected. dendritic cells and keratinocytes of the integument play a role in innate and adaptive immune response against pathogens, due to their function as antigen presenting cells. aiming to verify the interaction of p. brasiliensis with these cell populations, we studied 52 skin and 47 oral mucosa samples taken from patien ...201626768374
new insights into a complex fungal pathogen: the case of paracoccidioides spp.paracoccidioidomycosis is a systemic mycosis endemic to latin america, with paracoccidioides brasiliensis and p. lutzii being the causal agents of this disorder. several issues have been raised in the 100 years since its discovery and in this article we discuss features of this fascinating fungal pathogen, including its biology, eco-epidemiology and aspects of its pathogenicity. we also consider some of its virulence determinants, the most recent advances in the study of its metabolic pathways a ...201626683539
cutaneous granulomas in dolphins caused by novel uncultivated paracoccidioides brasiliensis.cutaneous granulomas in dolphins were believed to be caused by lacazia loboi, which also causes a similar disease in humans. this hypothesis was recently challenged by reports that fungal dna sequences from dolphins grouped this pathogen with paracoccidioides brasiliensis. we conducted phylogenetic analysis of fungi from 6 bottlenose dolphins (tursiops truncatus) with cutaneous granulomas and chains of yeast cells in infected tissues. kex gene sequences of p. brasiliensis from dolphins showed 10 ...201627869614
detection of multiple budding yeast cells and a partial sequence of 43-kda glycoprotein coding gene of paracoccidioides brasiliensis from a case of lacaziosis in a female pacific white-sided dolphin (lagenorhynchus obliquidens).lacaziosis, formerly called as lobomycosis, is a zoonotic mycosis, caused by lacazia loboi, found in humans and dolphins, and is endemic in the countries on the atlantic ocean, indian ocean and pacific ocean of japanese coast. susceptible cetacean species include the bottlenose dolphin (tursiops truncatus), the indian ocean bottlenose dolphin (t. aduncus), and the estuarine dolphin (sotalia guianensis); however, no cases have been recorded in other cetacean species. we diagnosed a case of lacazi ...201626883513
lacaziosis-like disease in tursiops truncatus from brazil: a histopathological and immunohistochemical approach.cetacean lacaziosis-like disease or lobomycosis-like disease (lld) is a chronic skin condition caused by a non-cultivable yeast of the order onygenales, which also includes lacazia loboi, as well as paracoccidioides brasiliensis and p. lutzii, respectively responsible for lacaziosis and paracoccidioidomycosis in humans. complete identification and phylogenetic classification of the lld etiological agent still needs to be elucidated, but preliminary phylogenetic analyses have shown a closer relat ...201626758656
peptides derived from a phage display library inhibit adhesion and protect the host against infection by paracoccidioides brasiliensis and paracoccidioides lutzii.paracoccidioides brasiliensis and paracoccidioides lutzii are dimorphic fungi and are the etiological agents of paracoccidioidomycosis (pcm). adhesion is one of the most important steps in infections with paracoccidioides and is responsible for the differences in the virulence of isolates of these fungi. because of the importance of adhesion to the establishment of an infection, this study focused on the preliminary development of a new therapeutic strategy to inhibit adhesion by paracoccidioide ...201628066254
chronic paracoccidioidomycosis with adrenal involvement mimicking tuberculosis - a case report from austria.paracoccidioidomycosis is a systemic fungal infection caused by paracoccidioides brasiliensis and endemic in certain areas of central and south america. we report a case of a 62-year-old-man with a complex history of tuberculosis and imaging findings of a cerebral lesion and bilateral adrenal enlargement. biopsy of adrenal gland revealed paracoccidioides brasiliensis. this case highlights the importance of travel history for diagnosis of paracoccidioidomycosis in non-endemic areas and emphasizes ...201627995053
extracellular vesicles from paracoccidioides brasiliensis induced m1 polarization in vitro.extracellular vesicles (evs) released by eukaryotes, archaea, and bacteria contain proteins, lipids, polysaccharides, and other molecules. the cargo analysis of evs shows that they contain virulence factors suggesting a role in the pathogenesis of infection. the proteome, lipidome, rna content, and carbohydrate composition of evs from paracoccidioides brasiliensis and paracoccidioides lutzii were characterized. however, the effects of p. brasiliensis evs on the host immune system have not yet be ...201627775058
severe changes in thymic microenvironment in a chronic experimental model of paracoccidioidomycosis.t cell maturation takes place within the thymus, a primary lymphoid organ that is commonly targeted during infections. previous studies showed that acute infection with paracoccidioides brasiliensis (pb), the causative agent of paracoccidioidomycosis (pcm), promotes thymic atrophy that is associated with the presence of yeast cells in the organ. however, as human pcm is a chronic infection, it is imperative to investigate the consequences of pb infection over the thymic structure and function in ...201627736987
the cell wall-associated proteins in the dimorphic pathogenic species of paracoccidioides.paracoccidioides brasiliensis and p. lutzii cause human paracoccidioidomycosis (pcm). they are dimorphic ascomycetes that grow as filaments at mild temperatures up to 28°c and as multibudding pathogenic yeast cells at 37°c. components of the fungal cell wall have an important role in the interaction with the host because they compose the cell outermost layer. the paracoccidioides cell wall is composed mainly of polysaccharides, but it also contains proportionally smaller rates of proteins, lipid ...201627526924
infection with paracoccidioides brasiliensis induces b-1 cell migration and activation of regulatory t cells.paracoccidioidomycosis is a systemic mycosis endemic to latin america. the infection is initiated by inhalation of conidia into the lung and may develop as localized or disseminated disease depending on the depression of cellular immunity. in the present study, we observed that intratracheal infection with paracoccidioides brasiliensis caused the percentage of resident b-1 cells to decrease. using xid mice reconstituted with b-1 cells, we observed that b-1 cells migrate to the spleen and stimula ...201627521490
paracoccin induces m1 polarization of macrophages via interaction with tlr4.the fungal human pathogen paracoccidioides brasiliensis contains paracoccin (pcn), a multi-domain protein that has lectin and n-acetyl-glucosaminidase activities, which account for its effects on the growth and morphogenesis of the fungus and on the activation of host macrophages through its interaction with tlr n-glycans. with the purpose of detailing the knowledge on the effects of pcn on macrophages, we used recombinant pcn expressed in pichia pastoris (p-rpcn) to stimulate isolated murine pe ...201627458431
evaluation of the efficacy of antifungal drugs against paracoccidioides brasiliensis and paracoccidioides lutzii in a galleria mellonella model.paracoccidioides brasiliensis and p. lutzii belong to a group of thermodimorphic fungi and cause paracoccidioidomycosis (pcm), which is a human systemic mycosis endemic in south and central america. patients with this mycosis are commonly treated with amphotericin b (amb) and azoles. the study of fungal virulence and the efficacy and toxicity of antifungal drugs has been successfully performed in a galleria mellonella infection model. in this work, g. mellonella larvae were infected with two par ...201627444116
current strategies for diagnosis of paracoccidioidomycosis and prospects of methods based on gold nanoparticles.paracoccidioidomycosis (pcm) is a human systemic granulomatous mycosis caused by thermodimorphic fungi from paracoccidioides genus. the disease is prevalent in latin america and triggers a serious clinical condition. consequently, rapid diagnosis and treatment are crucial to prevent progression of the disease, which can result in death. currently, there are several established methods for pcm diagnosis. however, many of these tests still present challenges in terms of cost, accessibility and eff ...201627416765
chylothorax in paracoccidioidomycosis.a previously healthy, 52-year-old woman presented with a nine months history of low fever and weight loss (> 30 kg). physical examination disclosed generalized lymphadenopathy, skin lesions, abdominal distension, mild tachypnea and a left breast mass. laboratory tests showed anemia; (prerenal) kidney injury, low serum albumin level; and negative serology for hiv and viral hepatitis. computed tomography (neck/chest/abdomen) showed generalized lymph node enlargement, splenomegaly, pleural effusion ...201627410917
paracoccidioidomycosis in the spine: case report and review of the literature.paracoccidioidomycosis is a systemic form of mycosis that spreads hematogenously, secondarily to reactivation of lung infection or infection at another site or to new exposure to the causative agent. few cases of bone involvement have been reported in the literature and involvement of the spine is extremely rare.201627355801
antifungal activity of amphotericin b conjugated to nanosized magnetite in the treatment of paracoccidioidomycosis.this study reports on in vitro and in vivo tests that sought to assess the antifungal activity of a newly developed magnetic carrier system comprising amphotericin b loaded onto the surface of pre-coated (with a double-layer of lauric acid) magnetite nanoparticles. the in vitro tests compared two drugs; i.e., this newly developed form and free amphotericin b. we found that this nanocomplex exhibited antifungal activity without cytotoxicity to human urinary cells and with low cytotoxicity to peri ...201627303789
musculoskeletal ultrasound findings in paracoccidioidomycosis.paracoccidioidomycosis is a fungal infection endemic to south america. the infection is usually asymptomatic and mostly affects the upper and lower respiratory tracts with clinical-radiological dissociation. joint involvement is rare with no specific pattern or radiological injury. we report a case of paracoccidioidomycosis in which the patient's initial symptoms were hoarseness and arthritis. after an ultrasound examination, we performed the differential diagnosis of other noninfectious arthrop ...201627267337
oral paracoccidioidomycosis granulomas are predominantly populated by cd163+ multinucleated giant cells.multinucleated giant cells (mgc) are considered to be a hallmark of granulomatous inflammation; thus, they may play an essential role in the host response against pathogens, particularly paracoccidioides brasiliensis. this study characterizes the mgc found in oral paracoccidioidomycosis and assesses the correlation of mgc with the amount of fungi within oral tissues. twenty-six cases were included. they were classified as loose or dense granulomas, and the total mgc, including foreign-body and l ...201627236303
influence of n-glycans on expression of cell wall remodeling related genes in paracoccidioides brasiliensis yeast cells.paracoccidioidomycosis is the most prevalent systemic mycosis in latin america. it is caused by the temperature-dependent dimorphic fungus paracoccidioides brasiliensis. the p. brasiliensis cell wall is a dynamic outer structure, composed of a network of glycoproteins and polysaccharides, such as chitin, glucan and n-glycosylated proteins. these glycoproteins can interact with the host to affect infection rates, and are known to perform other functions. we inhibited n-linked glycosylation using ...201627226767
paracoccidioides brasiliensis infection promotes thymic disarrangement and premature egress of mature lymphocytes expressing prohibitive tcrs.paracoccidioidomycosis, a chronic granulomatous fungal disease caused by paracoccidioides brasiliensis yeast cells affects mainly rural workers, albeit recently cases in immunosuppressed individuals has been reported. protective immune response against p. brasiliensis is dependent on the activity of helper t cells especially ifn-γ-producing th1 cells. it has been proposed that paracoccidioides brasiliensis is able to modulate the immune response towards a permissive state and that the thymus pla ...201627189089
paracoccidioides brasiliensis ps2: first autochthonous paracoccidioidomycosis case report in rio de janeiro, brazil, and literature review.paracoccidioidomycosis (pcm) is a systemic mycosis caused by pathogenic dimorphic fungi of the paracoccidioides brasiliensis complex. it is the most important systemic mycosis in latin america, mainly in brazil. despite its severity and high mortality rates, it is considered a neglected disease. species within the genus paracoccidioides present genetics and morphological variations with probable clinical, diagnostic and therapeutic consequences. in fact, there are a very small number of detailed ...201627161127
acute paracoccidioidomycosis due to paracoccidioides brasiliensis s1 mimicking hypereosinophilic syndrome with massive splenomegaly: diagnostic challenge. 201627054891
[clinical problems in medical mycology: problem number 47].a 66 year-old man, who had lived in paraguay and was a rural worker, was admitted to infectious diseases hospital f. j. muñiz in buenos aires. he presented fever, loss of body weight, cough, mucopurulent expectoration, wide perianal ulceration, paresthesia and paresis of both legs as well as vesical and anal sphincter dysfunction. he was a heavy smoker and drinker. thorax x-ray examination showed bilateral micronodular interstitial lesions. with a nmr of the dorsolumbar spine region a nodular le ...201623454255
[pulmonary paracoccidioidomycosis: a case report with high-resolution computed tomography findings].paracoccidioidomycosis is a systemic mycosis which is endemic in rural areas of latin america, an important european source of immigrants and a growing european touristic destination as well, with most cases occurring in brazil, argentina, venezuela and colombia. the authors report a case of a 43 year old man who previously worked in venezuela and is living in portugal for 8 years, presenting with a single cutaneous lesion. despite the absence of valuable respiratory complaints, severe lung dama ...201622445256
m2 macrophages and inflammatory cells in oral lesions of chronic paracoccidioidomycosis.paracoccidioidomycosis (pcm) is a systemic fungal infection caused by paracoccidioides brasiliensis (pb) and associated with deficient cellular immune response, which is modulated by inflammatory cells, mainly macrophages, and cytokines. recently, the comprehension of the macrophage polarization mediated by th1 and th2 cytokines has contributed to elucidate the immune response that takes part in some diseases. thus, the aim of this study was to assess the presence of th1- and th2-immune response ...201626041558
in-silico gene co-expression network analysis in paracoccidioides brasiliensis with reference to haloacid dehalogenase superfamily hydrolase gene.paracoccidioides brasiliensis, a dimorphic fungus is the causative agent of paracoccidioidomycosis, a disease globally affecting millions of people. the haloacid dehalogenase (had) superfamily hydrolases enzyme in the fungi, in particular, is known to be responsible in the pathogenesis by adhering to the tissue. hence, identification of novel drug targets is essential.201726229356
prevalence of paracoccidioidomycosis infection by intradermal reaction in rural areas in alfenas, minas gerais, brazil.this study aimed to estimate the prevalence of paracoccidioidal infection by intradermal reaction (delayed-type hypersensitivity, dth) to paracoccidioides brasiliensis in rural areas in alfenas, southern minas gerais (mg) state, brazil, and to assess risk factors (gender, occupation, age, alcohol intake and smoking) associated with infection. we conducted a population-based cross-sectional study using intradermal tests with gp 43 paracoccidioidin in 542 participants, who were previously contacte ...201725076426
serological evidence of infection by paracoccidioides brasiliensis in dogs with leishmaniasis.paracoccidioidomycosis is a systemic mycosis prevalent in latin american countries, caused by the dimorphic fungi paracoccidioides brasiliensis and p. lutzii. the habitat of these fungi in nature remains undefined, although it is believed that infection occurs by inhalation of infective propagules present in soil. sentinel animals, such as dogs, can be valuable epidemiological markers of paracoccidioidomycosis. taking into account that paracoccidioidomycosis and visceral leishmaniasis may occur ...201728523421
health and environmental risk assessment project for bottlenose dolphins tursiops truncatus from the southeastern usa. i. infectious diseases.from 2003 to 2015, 360 free-ranging atlantic bottlenose dolphins tursiops truncatus inhabiting the indian river lagoon (irl, n = 246), florida, and coastal waters of charleston (chs, n = 114), south carolina, usa, were captured, given comprehensive health examinations, and released as part of a multidisciplinary and multi-institutional study of individual and population health. the aim of this review is to summarize the substantial health data generated by this study and to examine morbidity bet ...201728737159
impact of paracoccin gene silencing on paracoccidioides brasiliensis virulence.among the endemic deep mycoses in latin america, paracoccidioidomycosis (pcm), caused by thermodimorphic fungi of the paracoccidioides genus, is a major cause of morbidity. disease development and its manifestations are associated with both host and fungal factors. concerning the latter, several recent studies have employed the methodology of gene modulation in p. brasiliensis using antisense rna (asrna) and agrobacterium tumefaciens-mediated transformation (atmt) to identify proteins that influ ...201728720727
pulmonary and sinus fungal diseases in non-immunocompromised patients.the human respiratory tract is exposed daily to airborne fungi, fungal enzymes, and secondary metabolites. the endemic fungi histoplasma capsulatum, coccidioides spp, blastomyces dermatitidis, and paracoccidioides brasiliensis, and occasionally aspergillus fumigatus, are primary pulmonary pathogens of otherwise healthy people. such infections resolve in most people, and only a few infections lead to disease. however, many fungi are directly allergenic by colonising the respiratory tract or indir ...201728774699
chronic paracoccidioidmycosis in a woman with crohn disease.we report a rare case of chronic paracoccidioidomycosis(pcm) in a woman with crohn disease in the setting of treatment with azathioprine and mesalazine. serum tests for antigens to paracoccidioides brasiliensis, histoplasma capsulatum, and aspergillus fumigatus were negative. an incisional biopsy of an oral lesion with periodic acid-schiff and grocott-methenamine silver stains revealed chronic granulomatous inflammation with multinucleated giant cells with paracoccidioides brasiliensis within th ...201728541872
approach to fungal infections in human immunodeficiency virus-infected individuals: pneumocystis and beyond.many fungi cause pulmonary disease in patients with human immunodeficiency virus (hiv) infection. pathogens include pneumocystis jirovecii, cryptococcus neoformans, aspergillus spp, histoplasma capsulatum, coccidioides spp, blastomyces dermatitidis, paracoccidioides brasiliensis, talaromyces marneffei, and emmonsia spp. because symptoms are frequently nonspecific, a high index of suspicion for fungal infection is required for diagnosis. clinical manifestations of fungal infection in hiv-infected ...201728797489
imaging spectrum of invasive fungal and fungal-like infections.invasive fungal and fungal-like infections contribute to substantial morbidity and mortality in immunocompromised individuals. the incidence of these infections is increasing-largely because of rising numbers of immunocompromised patients, including those with neutropenia, human immunodeficiency virus, chronic immunosuppression, indwelling prostheses, burns, and diabetes mellitus, and those taking broad-spectrum antibiotics. invasive fungal pathogens include primary mycotic organisms such as his ...201728622118
dnahsp65 vaccine as therapy against paracoccidioidomycosis.the conventional treatment for fungal diseases usually shows long periods of therapy and the high frequency of relapses and sequels. new strategies of the treatment are necessary. we have shown that the mycobacterium leprae hsp65 gene can be successfully used as therapy against murine paracoccidioidomycosis (pcm). here, we described the methodology of dnahsp65 immunotherapy in mice infected with the dimorphic fungus paracoccidioides brasiliensis, one of pcm agent, evaluating cytokines levels, fu ...201728584985
paracoccin distribution supports its role in paracoccidioides brasiliensis growth and dimorphic transformation.paracoccidioides brasiliensis yeast was reported to express paracoccin, a glcnac-binding protein that displays n-acetyl-β-d-glucosaminidase (nagase) activity. highly specific anti-paracoccin antibodies have been previously used to examine the localization of paracoccin in yeast and inhibit its growth in vitro. in the present study, anti-paracoccin antibodies were used to characterize, by scanning confocal microscopy, the distribution of paracoccin in p. brasiliensis hyphae, transition forms from ...201728846733
subtractive phage display selection for screening and identification of peptide sequences with potential use in serodiagnosis of paracoccidioidomycosis caused by paracoccidioides brasiliensis.paracoccidioidomycosis (pcm) is a systemic granulomatous disease endemic in latin america whose aetiologic agents are the thermodimorphic fungi paracoccidioides brasiliensis and paracoccidioides lutzii. despite technological advances, some problems have been reported for the fungal antigens used for serological diagnosis, and inconsistencies among laboratories have been reported. the use of synthetic peptides in the serological diagnosis of infectious diseases has proved to be a valuable strateg ...201728796894
the ido-ahr axis controls th17/treg immunity in a pulmonary model of fungal infection.in infectious diseases, the enzyme indoleamine 2,3 dioxygenase-1 (ido1) that catalyzes the tryptophan (trp) degradation along the kynurenines (kyn) pathway has two main functions, the control of pathogen growth by reducing available trp and immune regulation mediated by the kyn-mediated expansion of regulatory t (treg) cells via aryl hydrocarbon receptor (ahr). in pulmonary paracoccidioidomycosis (pcm) caused by the dimorphic fungus paracoccidioides brasiliensis, ido1 was shown to control the di ...201728791025
brazilian guidelines for the clinical management of paracoccidioidomycosis.paracoccidioidomycosis is a systemic fungal disease occurring in latin america that is associated with rural environments and agricultural activities. however, the incidence and prevalence of paracoccidiodomycosis is underestimated because of the lack of compulsory notification. if paracoccidiodomycosis is not diagnosed and treated early and adequately, the endemic fungal infection could result in serious sequelae. while the paracoccidioides brasiliensis ( p. brasiliensis ) complex has been know ...201728746570
nod-like receptor p3 inflammasome controls protective th1/th17 immunity against pulmonary paracoccidioidomycosis.the nod-like receptor p3 (nlrp3) inflammasome is an intracellular multimeric complex that triggers the activation of inflammatory caspases and the maturation of il-1β and il-18, important cytokines for the innate immune response against pathogens. the functional nlrp3 inflammasome complex consists of nlrp3, the adaptor protein apoptosis-associated speck-like protein, and caspase-1. various molecular mechanisms were associated with nlrp3 activation including the presence of extracellular atp, rec ...201728740491
paracoccidioides brasiliensis presents metabolic reprogramming and secretes a serine proteinase during murine infection.paracoccidoides brasiliensis and paracoccidioides lutzii, the etiologic agents of paracoccidioidomycosis, cause disease in healthy and immunocompromised persons in latin america. we developed a method for harvesting p. brasiliensis yeast cells from infected murine lung to facilitate in vivo transcriptional and proteomic profiling. p. brasiliensis harvested at 6 h post-infection were analyzed using rnaseq and lc-ms(e). in vivo yeast cells had 594 differentially expressed transcripts and 350 diffe ...201728704618
depicting the metabolism of paracoccidioides brasiliensis during infection by transcriptional and proteomic approaches. 201728679067
dendritic cells primed with paracoccidioides brasiliensis peptide p10 are therapeutic in immunosuppressed mice with paracoccidioidomycosis.paracoccidioidomycosis (pcm) is an endemic systemic mycosis in latin america, with the highest prevalence in brazil, colombia, and venezuela. fungi of the paracoccidioides genus are etiologic agents of the disease. the 15 amino acid peptide p10 is derived from gp43, the main diagnostic antigen of paracoccidioides brasiliensis. we previously reported that p10-pulsed dendritic cells (dcs) induce a protective response against p. brasiliensis. presently, dexamethasone-treated balb/c mice were intrat ...201728659882
alkyl protocatechuate-loaded nanostructured lipid systems as a treatment strategy for paracoccidioides brasiliensis and paracoccidioides lutzii in vitro.dodecyl protocatechuate (dodecyl) is a derivative of protocatechuic acid (3,4-dihydroxybenzoic acid) that possesses anti-oxidant and antifungal properties. nanostructured lipid systems (nls) can potentiate the action of many antifungal agents, reducing the required dose and side effects by improving their activity. this work aimed to evaluate dodecyl protocatechuate loaded into a nls (nls+dodecyl) as a strategy for the treatment of paracoccidioides brasiliensis and p. lutzii in vitro. antifungal ...201728659880
targeting the homoserine dehydrogenase of paracoccidioides species for treatment of systemic fungal infections.this work evaluated new potential inhibitors of the enzyme homoserine dehydrogenase (hsd) of paracoccidioides brasiliensis, one of the etiological agents of paracoccidioidomycosis. the tertiary structure of the protein bonded to the analogue nad, and l-homoserine was modeled by homology. the model with the best output was subjected to gradient minimization, redocking, and molecular dynamics simulation. virtual screening simulations with 187,841 molecules purchasable from the zinc database were p ...201728652239
standardization and prevalence of the booster phenomenon: evaluation using a two-step skin test with 43 kda glycoprotein in individuals from an endemic region of paracoccidioidomycosis.we estimated the occurrence rate of the booster phenomenon by using an intradermal test with 43 kda glycoprotein in an endemic area of paracoccidioidomycosis in the central-west region of brazil.201728646277
can passage in galleria mellonella activate virulence factors of paracoccidioides brasiliensis as in the murine model?paracoccidioidomycosis (pcm) is a fungal disease restricted to latin countries, and its etiologic agents derive from the paracoccidioides genus. attenuation or loss of virulence in paracoccidioides spp. following successive subculturing has been described. however, virulence can be recovered by passage in mammalian host. in this study, the recovery of adhesion of p. brasiliensis through passage in mice was compared to that in the insect galleria mellonella. analysis of in vitro fungal-host cell ...201728637229
the critical role of notch1-tlr 4 signaling in the inflammatory and fungicidal activity of macrophages against paracoccidioides brasiliensis strain pb18.paracoccidioidomycosis is a systemic mycosis of deep nature that primarily affects the lung and can spread via lymphatic and hematogenous to other organs and tissues. it is mainly caused by paracoccidioides brasiliensis fungus which exhibits thermal dimorphism. the innate immune system mediated by macrophages is extremely important for the control of infection and is involved in the induction and regulation of immune/inflammatory response. these cells are able to recognize pathogens through patt ...201728600728
yeast expressing gp43 protein as a vaccine against paracoccidioides brasiliensis infection.paracoccidioidomycosis (pcm) represents the most frequent systemic mycosis in latin american. the disease is caused by the pathogenic thermally dimorphic fungus paracoccidioides brasiliensis, and is initially characterized by pulmonary lesions, which can subsequently disseminate to other organs, resulting in secondary injuries. although its high incidence, there is no commercially available vaccine against fungal diseases. a novel strategy, using saccharomyces cerevisiae yeast as a vehicle for i ...201728584992
peptide vaccine against paracoccidioidomycosis.the chapter reviews methods utilized for the isolation and characterization of a promising immunogen candidate, aiming at a human vaccine against paracoccidioidomycosis. peptide p10 carries a t-cd4+ epitope and was identified as an internal sequence of the major diagnostic antigen known as gp43 glycoprotein. it successfully treated massive intratracheal infections by virulent paracoccidioides brasiliensis in combination with chemotherapy.an introduction about the systemic mycosis was found essen ...201728584987
mouse immunization with radioattenuated yeast cells of paracoccidioides brasiliensis.paracoccidioides brasiliensis is the agent of paracoccidioidomycosis, the most prevalent mycosis in latin america, and currently there is no effective vaccine. the present chapter describes the methodology to obtain radioattenuated yeast cells of p. brasiliensis and a protocol to evaluate protective response elicited by this immunogen in experimental paracoccidioidomycosis. the radioattenuated yeast provides a valuable tool for immunological studies in experimental paracoccidioidomycosis and vac ...201728584979
hepatic disease with portal hypertension and acute juvenile paracoccidioidomycosis: a report of two cases and literature review.paracoccidioidomycosis (pcm) is a neglected systemic mycosis endemic to latin america caused by dimorphic fungi of the genus paracoccidioides. the acute juvenile pcm is a severe type of presentation that usually affects young vulnerable patients and rarely progresses to portal hypertension. here, two cases of liver disease and portal hypertension as complications of acute juvenile pcm are reported. diagnosis of pcm was performed by isolation of the fungus and molecular identification of the stra ...201728577123
unusual otolaryngologic manifestations of paracoccidioidomycosis: a case report and review of literature.abstractparacoccidioidomycosis is a systemic mycosis caused by paracoccidioides brasiliensis. it occurs more frequently in its chronic form, which particularly affects male adults from rural areas. these patients present with pulmonary involvement and systemic symptoms. skin and mucosal lesions are rather typical and might suggest the diagnosis. the involvement of the upper airway mucosa is common and the patients usually complain of dysphagia and dysphonia. nonetheless, in endemic areas, physic ...201728500805
hiv immune recovery inflammatory syndrome and central nervous system paracoccidioidomycosis.the immune reconstitution inflammatory syndrome (iris) is a deregulated inflammatory response to invading microorganisms. it is manifested when there is an abrupt change in host immunity from an anti-inflammatory and immunosuppressive state to a pro-inflammatory state as a result of rapid depletion or removal of factors that promote immune suppression or inhibition of inflammation. the aim of this paper is to discuss and re-interpret the possibility of association of paracoccidioidomycosis (pcm) ...201727718161
depletion of neutrophils promotes the resolution of pulmonary inflammation and fibrosis in mice infected with paracoccidioides brasiliensis.chronic stages of paracoccidioidomycosis (pcm) are characterized by granulomatous lesions which promote the development of pulmonary fibrosis leading to the loss of respiratory function in 50% of patients; in addition, it has been observed that neutrophils predominate during these chronic stages of p. brasiliensis infection. the goal of this study was to evaluate the role of the neutrophil during the chronic stages of experimental pulmonary pcm and during the fibrosis development and tissue repa ...201727690127
paracoccidioides brasiliensis-associated dermatitis and lymphadenitis in a dog.paracoccidioidomycosis (pcm) is an endemic disease of humans from latin america that is caused by paracoccidioides brasiliensis and p. lutzii, with most cases of pcm in domestic animals being associated with p. brasiliensis. this study presents the clinical, cytological, mycological, serological, and molecular findings associated with p. brasiliensis in a dog from southern brazil. fine needle biopsies were collected from the skin and several lymph nodes of a 5-year-old female labrador dog that h ...201727757778
study of differential expression of mirnas in lung tissue of mice submitted to experimental infection by paracoccidioides brasiliensis.micrornas (mirnas) are small single stranded rna sequences involved in post-transcriptional regulation of different biological and physiological processes. paracoccidioidomycosis (pcm) is an infection caused by paracoccidioides brasiliensis, and it is a major cause of mortality due to systemic mycoses in brazil. to date, there have been few reports on the role of mirnas in the immune response against fungi, especially pcm. the objective of this study was to evaluate the differential expression o ...201728053145
acute pulmonary involvement by paracoccidiodomycosis disease immediately after kidney transplantation: case report and literature review.paracoccidioides brasiliensis is the cause of paracoccidioidomycosis, one of the most important systemic mycoses in latin america. human disease has been observed in a limited geographic and ecological niche, and it is attributed to exposure to the fungus in soil. most primary infections are subclinical, as the infection is contained by the host mainly through cell-mediated immune response. however, as the fungus has the ability to survive in a dormant state for long periods, an impairment of th ...201728039947
photodynamic inactivation of oral paracoccidioidomycosis affecting woman with systemic lupus erythematosus: an unusual case report.paracoccidioidomycosis (pcm) is a systemic disease caused by the dimorphic fungus paracocdioides brasiliensis. the infection primarily reaches the lungs by the inhalation of fungi spores and later can disseminate to other organs causing secondary oral lesions. systemic lupus erythematosus (sle), on the other hand, is an autoimmune chronic inflammatory disease that affects various organ systems, including skin and oral cavity. here we report a 39-year-old female patient bearing sle and presenting ...201728012807
paracoccidioides brasiliensis induces cytokine secretion in epithelial cells in a protease-activated receptor-dependent (par) manner.paracoccidioides brasiliensis is one of the etiological agents of the human systemic mycosis paracoccidioidomycosis. protease-activated receptors (pars) are expressed in many cell types and comprise a family of g protein-coupled receptors (par-1, par-2, and par-4), which may be activated by proteases secreted by several pathogens. in the present study, we showed that the pathogenic fungus p. brasiliensis secretes components that promote interleukin (il)-6 and il-8 secretion by the lung epithelia ...201727995367
paracoccidioidomycosis in brazilian patients with and without human immunodeficiency virus infection.paracoccidioidomycosis (pcm) is endemic to latin america, where 10 million people may be infected with paracoccidioides brasiliensis/paracoccidioides lutzii and 1,600,000 individuals live with human immunodeficiency virus (hiv) infection. an epidemiological overlapping of these infections occurred early in acquired immunodeficiency syndrome era with nearly 180 published cases. this study presents epidemiological, clinical, and outcome profiles for 31 pcm patients with hiv infection diagnosed in ...201727895278
recombinant 60-kda heat shock protein from paracoccidioides brasiliensis: is it a good antigen for serological diagnosis of paracoccidioidomycosis?paracoccidioides brasiliensis and p. lutzii are fungi that cause paracoccidioidomycosis (pcm), the most prevalent systemic mycosis in south america. for serological diagnosis, although 43-kda glycoprotein (gp43) is regarded as highly specific for pcm, the occurrence of false negative reactions in sera from patients infected with p. lutzii suggests that preparation with only one antigen is not recommended. heat shock proteins are feasible alternatives as a second antigen because they are often hi ...201728380215
acute juvenile paracoccidioidomycosis: a 9-year cohort study in the endemic area of rio de janeiro, brazil.paracoccidioidomycosis (pcm) is a systemic mycosis caused by pathogenic dimorphic fungi of the genus paracoccidioides. it is the most important systemic mycosis in latin america and the leading cause of hospitalizations and death among them in brazil. acute pcm is less frequent but relevant because vulnerable young patients are affected and the severity is usually higher than that of the chronic type.201728355221
photodynamic inactivation of paracoccidioides brasiliensis helps the outcome of oral paracoccidiodomycosis.the antifungal drug therapy often employed to treat paracoccidiodomycosis (pcm), an important neglected fungal systemic infection, leads to offensive adverse effects, besides being very long-lasting. in addition, pcm compromises the oral health of patients by leading to oral lesions that are very painful and disabling. in that way, photodynamic therapy (pdt) arises as a new promising adjuvant treatment for inactivating paracoccidioides brasiliensis (pb), the responsible fungus for pcm, and also ...201728349345
anti-apoptotic effects of decyl gallate on the induction of apoptosis in a549 pneumocytes by paracoccidioides brasiliensis gp43.apoptosis is considered an escape mechanism from the host immune system for the fungus paracoccidioides spp, and it serves as a vehicle for entry into macrophages without stimulating microbicidal activities. recently, gp43 of p. brasiliensis was demonstrated to be involved in this process. therefore, as a new therapeutic alternative, it is very important to study compounds that could reduce the modulation of the induction of apoptosis caused by this fungus. decyl gallate (g14) is a known antifun ...201728339963
animal models and antifungal agents in paracoccidioidomycosis: an overview.paracoccidioides brasiliensis is the etiologic agent of paracoccidioidomycosis, the most prevalent systemic mycosis in latin america. the morbidity and mortality associated with paracoccidioidomycosis necessitate our understanding of fungal pathogenesis and discovering of new agents to treat this infection. animal models have contributed much to the knowledge of fungal infections and their corresponding therapeutic treatments. this is true for animal models of the primary fungal pathogens such a ...201728324244
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