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Close encounters of three kinds: Case-based report of endemic mycoses in the environs of New York city

机译:三种遇到的遇到:纽约市环境中的案例毫读的案例报告

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摘要

The term “endemic mycoses” refers to a group of fungi that maintains a baseline rate of infection only in certain geographical regions due to the hospitable enviormental conditions these regions offer. In the United States, Histoplasma capsulatum, Coccidioides spp, and Blastomyces dermatitidis are the three most prevalent endemic human fungal infections. The traditional endemic regions for these pathogens are defined based on data acquired many decades ago, and case detection is subject to diagnostic delays even in classically endemic areas, a problem that is likely to be magnified in areas less familiar with these fungal infections. The present series includes an example of each of these infections diagnosed in a medical center situated in the suburbs of New York City, a location not considered endemic for any of them. Likely routes of acquisition for the three patients are considered, and the history of encounters with these pathogens in New York State is briefly recounted. Altogether, this report is intended to serve as a reminder to clinicians that traditional distribution maps for the endemic mycoses are bound to be outdated in the face of modern trends in globalization, population dynamics, and ecological change.
机译:术语“地方性肌动术”是指一组真菌,其仅在这些地区提供的好客的环境条件,只在某些地理区域中保持基线感染率。在美国,组织荚膜胶囊,可甲酰胺SPP和Blastomyces Dermatitidis是三种最普遍的流动性人类真菌感染。这些病原体的传统流行区域是基于多年前获得的数据定义的,并且案例检测即使在经典流行区域也有诊断延迟,这是在不太熟悉这些真菌感染的区域中可能被放大的问题。本系列包括在纽约市郊区的医疗中心诊断出这些感染的每个感染的示例,该地点不被认为是流行的。可能考虑了这三名患者的收购途径,并在纽约国家遇到这些病原体的历史概述了。完全是,本报告旨在提醒临床医生,即在全球化,人口动态和生态变革的现代趋势面临现代趋势,流动肌动态物的传统分布地图必将过时。

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