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. 2018 Feb 15;12(2):e0006245.
doi: 10.1371/journal.pntd.0006245. eCollection 2018 Feb.

Imported endemic mycoses in Spain: Evolution of hospitalized cases, clinical characteristics and correlation with migratory movements, 1997-2014

Daniel Molina-Morant  1 , Adrián Sánchez-Montalvá  1 , Fernando Salvador  1 , Augusto Sao-Avilés  1 , Israel Molina  1
Affiliations

Imported endemic mycoses in Spain: Evolution of hospitalized cases, clinical characteristics and correlation with migratory movements, 1997-2014

Daniel Molina-Morant et al. PLoS Negl Trop Dis. .

Abstract

Endemic mycoses are systemic fungal infections. Histoplasmosis is endemic in all temperate areas of the world; coccidioidomycosis and paracoccidioidomycosis are only present in the American continent. These pathogens are not present in Spain, but in the last years there has been an increase of reported cases due to migration and temporary movements. We obtained from the Spanish hospitals records clinical and demographic data of all hospitalized cases between 1997 and 2014. There were 286 cases of histoplasmosis, 94 of Coccidioidomycosis and 25 of paracoccidioidomycosis. Overall, histoplasmosis was strongly related to HIV infection, as well as with greater morbidity and mortality. For the other mycoses, we did not find any immunosuppressive condition in most of the cases. Although we were not able to obtain data about clinical presentation of all the cases, the most frequently found was pulmonary involvement. We also found a temporal correlation between the Spanish population born in endemic countries and the number of hospitalized cases along this period. This study reflects the importance of imported diseases in non-endemic countries due to migratory movements.

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Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this article.

Figures

Fig 1
Fig 1. Evolution of cases of endemic mycoses and Spanish population at risk.
*y1 axis: total number of people/trips in every year. *y2 axis: number of total cases in every year of the studied period, 1997–2014.
Fig 2
Fig 2. Distribution of cases of endemic mycoses according to the Autonomous Community to which the hospital belongs.
The map was obtained from open access website www.d-maps.com, and it was modified with the software Inkscape.
See this image and copyright information in PMC

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