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Fungal agents in different anatomical sites in Public Health Services in Cuiabá, state of Mato Grosso, Brazil

DOI: 10.1590/S0036-46652012000100002

Keywords: dermatomycoses, fungal agents, mato grosso.

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Abstract:

introduction: a contribution to the regional epidemiological profile of the most common fungal agents in public health services in cuiabá, state of mato grosso, including university hospitals and polyclinics. methods: clinical specimens (n = 1,496) from 1,078 patients were collected, submitted to direct mycological exam (potash or stick tape method) and cultured in specific mediums. dermatophytic and non-dermatophytic agents were identified according to micromorphology (ridell technique). results: the majority of the 1,496 specimens were skin (n = 985) and nail exams (n = 472). of the 800 positive cultures, 246 (30.8%) corresponded to dermatophytes and 336 (42%) to yeasts of the genus candida, 190 (23.7%) to other yeasts, 27 (3.4%) to non-dermatophytic filamentous fungi and one (0.1%) the agent of subcutaneous mycosis. lesions considered primary occurred in greater numbers (59.5%) than recurrent lesions (37.4%), with a greater concentration of positivity occurring on the arms and legs. conclusions: comorbidities, allergies and diabetes mellitus were conditions associated with greater positivity in direct mycological exams and cultures. positive culture was considered a definitive diagnosis of fungal infection and confirmed 47.8% of diagnostic hypotheses.

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