Paracoccidioidin and histoplasmin sensitivity in Tupí-Mondé Amerindian populations from Brazilian Amazonia
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open access
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Article
Date
1994
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Taylor & Francis
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Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Museu Nacional. Departamento de Antropologia. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Museu Nacional. Departamento de Antropologia. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
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Abstract
Abstract
A cross-sectional epidemiological survey for paracoccidioidomycosis and histoplasmosis, including skin tests with paracoccidioidin and histoplasmin, physical examinations and X-rays, wasconducted among three Tupi-Monde Amerindian populations from Brazilian Amazonia. The study followed the diagnosis of an increasing number of cases of paracoccidioidomycosis among the Surui in recent years. Positivity rates to paracoccidioidin and histoplasmin (>5 mm of intradermal induration 24-48 h post-injection) were 438% and 78-7% for the Surui, 64% and 58% for the Gaviao and 149% and 805% for the Zoro, respectively. There was no significant difference in the results for males and females but marked differences were noted across age groups. The results of the univariate analysis were confirmed after adjustment for confounding variablesby multiple logistic regression analysis: paracoccidioidin positivity was relatively high in the Surui and histoplasmin positivity was relatively high in the Surui and Zoro. The Surui's greater exposure to Paracoccidioides brasiliensis, the causative agent of paracoccidioidomycosis, is probably associated with their adoption of new subsistence practices. The epidemiology of this mycosis among the Tupi-Monde appears to be related to the environmental and socio-economic changes taking place in Amazonia. Inhalation
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Keywords in Portuguese
Brasil, Índios Sul-Americanos, Região Norte, Saúde de Populações Indígenas, Mato Grosso, Região Amazônica, Epidemiologia, Gavião, Suruí, Rondônia, Zoró, Morbidade, Micoses, Histoplasmose, Histoplasmina, Paracoccidioides, Radiologia, Doenças Infecciosas e Parasitárias, Doença Pulmonar, Paracoccidioidomicose Pulmonar, Radiografia de Tórax, Testes Cutâneos, Tupí-Mondé
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Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Ecossistema Amazônico, Epidemiologia, Micoses, Histoplasmose, Paracoccidioides, Paracoccidioidomicose Pulmonar, Testes Cutâneos
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COIMBRA JUNIOR, Carlos Everaldo Alvares et al. Paracoccidioidin and histoplasmin sensitivity in Tupí-Mondé Amerindian populations from Brazilian Amazonia. Annals of Tropical Medicine & Parasitology, v. 88, n. 2, p. 197-207, 1994.
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ISSN
0003-4983
1364-8594
1364-8594
DOI
10.1080/00034983.1994.11812858