Gonçalves A J, Londero A T, Terra G M, Rozenbaum R, Abreu T F, Nogueira S A
Hospital dos Servidores do Estado, MS, Rio de Janeiro, Brasil.
Rev Inst Med Trop Sao Paulo. 1998 Jan-Feb;40(1):11-3. doi: 10.1590/s0036-46651998000100003.
Thirty six cases of acute disseminated paracoccidioidomycosis in 3 to 12 year-old children, natives of the state of Rio de Janeiro, were seen in the period 1981-1996. All patients were residents in the rural region of 15 counties, scattered on the Southwestern part of this state. The rural region of two neighboring counties, where 16 cases (44.4%) occurred, was visited. It exhibited the environmental conditions that are considered favorable to the survival of P. brasiliensis. The most important of these conditions, abundant watercourses and autochthonous forest, are distributed on well defined and limited areas, in which the dwellings are also localized. Probably, a careful epidemiological study of forthcoming cases of the disease in children may facilitate the search for the micro-niche of the fungus.
1981年至1996年期间，在里约热内卢州发现了36例3至12岁儿童的急性播散性副球孢子菌病，这些儿童均为本州居民。所有患者都居住在该州西南部15个县的农村地区。对相邻两个县的农村地区进行了走访，那里发生了16例病例（44.4%）。该地区呈现出被认为有利于巴西副球孢子菌生存的环境条件。其中最重要的条件是丰富的水道和原生森林，它们分布在明确且有限的区域内，而这些区域内也有居民居住。或许，对即将出现的儿童病例进行仔细的流行病学研究，可能有助于寻找该真菌的微生境。
