Fungal Infections in HIV-positive Peruvian Patients: Could the Venezuelan Migration Cause a Health Warning Related-infectious Diseases?
Year: 2019
Type: article
Study design: Observational Study
Abstract: In patients with human immunodeficiency virus (HIV), opportunistic infections occur that could compromise the health of patients.In order to determine the frequency of fungal opportunistic and superficial infections in HIV-positive men-who-have-sex-with-men (MSM) patients at the Hospital Nacional Guillermo Almenara, we conducted a cross-sectional retrospective study.We include Peruvian patients >18 years-old, derived from infectious or gynecological offices, with or without antiretroviral treatment.One hundred thirteen patients were enrolled (36.7±10, range: 21 to 68 years), which 46 (40.7%) has an opportunistic fungal infection, mainly by candidiasis (23.9%), pneumocystosis (8.7%), and cryptococcosis (6.5%).Six (13%) patients had fungal coinfections, mainly by oral candidiasis and ringworm (Tinea pedis) (4.3%), and opportunistic infections have an incidence of 15.9%.Of the 17 cases of dermatophytosis, 12 (70.6%)were from Tinea pedis, 5 (29.4%) from Tinea corporis, 3 (17.6%)from Tinea unguium, and two (11.8%) from Tinea versicolor.We found significant difference between the year of HIV-infection and the year of fungal infection (p=0.001).The frequency of opportunistic fungal infections was determined in the fourth-and-six percent of Peruvian MSM HIV-positive patients, where candidiasis, pneumocystosis, and cryptococcosis were the most frequent.We raise the importance of fungal infections in the current framework of Venezuelan migration, since this could be a new risk factor and imply changes in incidence rates, which implies new challenges for Peruvian Public Health.
Source: Journal of Infectiology
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3000245124