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2030-12-31
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OCULAR MANIFESTATIONS OF SPOROTRICHOSIS IN A HYPERENDEMIC REGION IN BRAZIL: DESCRIPTION OF A SERIES OF 120 CASES
Arinelli, Andrea et al. | Data do documento: 2023
Autor(es)
Arinelli, Andrea
Aleixo, Ana L. Q. C.
Freitas, Dayvison Francis Saraiva
Valle, Antonio Carlos Francesconi do
Almeida-Paes, Rodrigo
Guimarães, Ana L. Nobre
Oliveira, Raquel V. C.
Gutierrez-Galhardo, Maria Clara
Curi, André L. L.
Afiliação
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research in Infectious Ophthalmology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research in Infectious Ophthalmology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research in Infectious Dermatology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research in Infectious Dermatology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Mycology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research in Infectious Dermatology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Epidemiology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research in Infectious Dermatology. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Laboratory of Clinical Research in Infectious Ophthalmology. Rio de Janeiro, RJ, Brazil.
Resumo em Inglês
Purpose: To describe 120 cases of ocular sporotrichosis. Methods: Review of medical records of patients with culture-proven (from eye specimen) ocular sporotrichosis, in Rio de Janeiro, from 2007 to 2017. Results: Women were more affected (61.7%) and median age was 24 years. The isolated ocular form was more frequent (75.8%). Fixed cutaneous sporotrichosis was the most commonly associated form (48.3%). Hypersensitivity reactions were observed in 10% of patients. Ocular involvement was unilateral in 98.3% of the cases, and the most frequent clinical presentation was granulomatous conjunctivitis (86.7%), followed by eyelid lesion (25%). Dacryocystitis represented 7.5% of the cases, predominantly in children (55.6%). Itraconazole was the first choice treatment (95.8%). Sequelae were observed in 23 patients (22.5%), and surgical treatment was required for most of them. Conclusion: Ocular sporotrichosis can be considered a characteristic form of the zoonotic transmission, with high morbidity. Delay in initiating specific treatment is likely to increase the risk of progression to more severe forms of the disease, and development of ocular sequelae.
Palavras-chave em inglês
Ocular sporotrichosis
Sporothrix
Granulomatous conjunctivitis
Parinaud
Bulbar conjunctivitis
Zoonotic transmission
 
Editor
Aeolus Press
Referência
ARINELLI, Andrea et al. Ocular Manifestations of Sporotrichosis in a Hyperendemic Region in Brazil: Description of a Series of 120 Cases. Ocular Immunology and Inflammation, v. 31, n. 2, p. 329-337, Feb. 2023.
DOI
10.1080/09273948.2022.2027465
ISSN
0927-3948