Regarding the centennial anniversary of the discovery of paracoccidioidomycosis

Milestones in evolution of knowledge about it, with en emphasis on national scientific contributions

  • Ismael A. Conti Díaz Universidad de la República, Facultad de Medicina, Instituto de Higiene, Cátedra y Departamento de Parasitología, Profesor Director (1986-1996). Ministerio de Salud Pública, División Epidemiología, Departamento de Laboratorios de Salud Pública, Ex Director (1990-1996)
Keywords: PARACOCCIDIOIDOMYCOSIS

Abstract

In 2008 was the centennial anniversary of the discovery of paracoccidioidomycosis (former South American blastomycosis), a serious systemic mycosis and an essentially relapsing one affecting Mexico, Central America –with the exception of Nicaragua– and in particular the South American continent, especially Brazil. Our country is part of this condition’s endemic area with 77 cases reported until 1997.
The present study constitutes a much needed reminder as well as an updated analysis of the subsequent scientific progress, in terms of knowing about the main etiological, clinical-epidemiological, and etiopathogenic aspects and the parasite-host interrelationships, diagnosis and therapy of the disease, among other milestones.
An emphasis is made on the contributions by the Uruguayan School of Medical Mycology, presided by Professor Juan E. Mackinnon, particularly those concerning the final explanation/clarification of the pathogenesis of this condition, which is currently unanimously accepted and was made through original lab experiences with animals.
Different national studies were also relevant, as is the case of the study of the structural and biological characteristics of the etiological agent, knowledge about the mycosis epidemiology in the country and the determination of the influence and effects of different environment temperatures on the disease in lab animal experiences, among others.

References

(1) Lutz A. Una micose pseudococcídica localizada na boca e observada no Brasil. Contribuicao ao conhecimento das hifoblastomicoses americanas. Brasil Méd 1908; 22: 121-4.
(2) Splendore A. Zymonematosis con localizzazione nella cavitá delle bocca observata in Brasile. Bull Soc Path Exot 1912; 5: 313-9.
(3) Almeida F de. Estudos comparativos do granuloma coccidióidico nos Estados Unidos e no Brasil. Novo genero para o parasito brasileiro. Ann Fac Med Univ S Paulo 1930; 5: 3-19.
(4) Mackinnon JE, Vinelli H. Observaciones sobre la forma multibrotante de Paracoccidioides brasiliensis en los cultivos. An Fac Med Montevideo 1949; 34:461-70.
(5) Mackinnon JE, Gurri J. Morfología y mecanismo de multiplicación de Paracoccidioides brasiliensis en su forma parasitaria estudiada por el método del carbonato de plata. An Fac Med Montevideo 1950; 35: 1033-8.
(6) Neves JS, Bogliolo L. Researches on the etiologic agents of American Blastomycosis. I. Morphology and systematic of Lutz disease agent. Mycopathologia 1951; 5: 133-46.
(7) Carbonell LM, Kanetsuna F, Gil F. Chemical morphology of glucan and chitin in the cell wall of the yeast phase of Paracoccidioides brasiliensis. J Bacteriol 1970; 101(2): 636-42.
(8) San Blás F, San Blás G. Paracoccidioides brasiliensis. In: Szanizlo P, ed. Fungal dimorphism with emphasis on fungi pathogenic for humans. New York: Plenum Press, 1985:93-120.
(9) Muchmore HG, McKnow B, Mohr JA Effect of steroid hor- mones on the growth of Paracoccidioides brasiliensis. In: Pan. American Symposium on Paracoccidioidomycosis, 1, Medellin, Colombia, 1971. Washington: PAHO, 1972: 300-372 (Scient. Publ., 254).
(10) Conti Díaz IA, Mackinnon JE, Furcolow ML. Effect of drying on Paracoccidioides brasiliensis. Sabouraudia 1971; 9:69-78.
(11) Lacaz C da S, Minami PS, Purchio A. O grande mundo dos fungos. Sao Paulo: EDUSP, 1970.
(12) Rippon JW. Tratado de Micología Médica 3ª ed. México: Interamericana, 1990.
(13) Mackinnon JE. Blastomicosis sudamericana experimental evolutiva obtenida por vía pulmonar. An Fac Med Montevideo 1959; 44: 355-8.
(14) Mackinnon JE, Artagaveytia-Allende RC, Arroyo L. Sobre la especificidad de la intradermorreacción con paracoccidioidina. An Fac Med Montevideo 1953; 38: 363-82.
(15) Almeida F de, Lacaz C da S. Intradermoreacao com paracoccidioidina no diagnostico do granuloma paracoccidioidico. A reacao de Montenegro no granuloma paracoccidioidico. Folia Clin Biol 1941; 13: 177-82.
(16) Restrepo A, Guzmán de Espinosa G. Paracoccidioidomicosis experimental del ratón por vía aerógena. Sabouraudia 1976; 14: 299-311.
(17) Conti Díaz IA, Yarzábal LA, Mackinnon JE. Lesiones cutáneas, orofaríngeas, rectales y musculares por inoculación intracardíaca de Paracoccidioides brasiliensis al cobayo y al conejo. An Fac Med Montevideo 1959; 44: 601-7.
(18) Mackinnon JE, Conti Díaz IA, Yarzábal LA, Tavella N. Temperatura ambiental y blastomicosis sudamericana. An Fac Med Montevideo 1960; 45: 310-8.
(19) Mackinnon JE. The effect of temperature on the deep mycoses. In: Wolstenholme G, Porter R, eds. Systemic mycoses. London: Churchill Livingstone, 1968: 164-75.
(20) Felipe MS. Postegomic contribution to the knowledge on the host-pathogen interaction. Proceedings of the X International Congress on Paracoccidioidomycosis. A centennial celebration. Biomédica 2008; 28 (Supl.1): 44-5.
(21) Conti Díaz IA, Calegari L. Paracoccidioidomicosis en el Uruguay: su estado y problemática actuales. Bol of Sanit Panam 1979; 86(3): 219-29.
(22) Conti Díaz IA. Contribución al conocimiento y progreso científico en Micología Médico. S.A. Montevideo (Uruguay): Impresora Federal Nuevo Sur, 1997.
(23) Martínez R. The coexistence of HIV infection and paracoccidioidomycosis. In: Proceedings of the X International Congress on Paracoccidioidomycosis. A centenial celebration. Biomédica 2008; 28 (Supl 1): 102-3.
(24) Conti Díaz IA. Skin tests with paracoccidioidin and their importante. Proceedings of First Pan American Symposium on Paracoccidioidomycosis. PAHO Scientif Publ 254, Washington DC: PAHO, 1972:197-202.
(25) Albornoz MB. Isolation of Paracoccidioides brasiliensis from rural soil in Venezuela. Sabouraudia 1971; 9:248-53.
(26) Conti Díaz IA, Rilla F. Hipótesis sobre el nicho ecológico de Paracoccidioides brasiliensis. Rev Med Urug 1989; 5(2-3): 97-103.
(27) Conti Díaz IA. On the unknown ecological niche of Paracoccidioides brasiliensis. Our hypothesis of 1989: present status and perspectives. Rev Inst med Trop S Paulo 2007; 49(2): 131-4.
(28) Fava Netto C. Estudos quantitativos sobre a fixacao do complemento no blastomicose sudamericana, con antigeno polissacaridico. Arq Cirur Clin Exp 1955; 18: 197-254.
(29) Yarzábal LA. Anticuerpos precipitantes específicos de la blastomicosis sudamericana revelados por inmunoelectroforesis. Rev Inst Med Trop S Paulo 1971; 13:320-7.
(30) Restrepo A, Moncada LH. Characterization of the precipitin bands detected in the immunodiffusion test for paracoccidioidomycosis. Appl Microbiol 1974; 28: 138-44.
(31) Conti Díaz IA, Somma Moreira RE, Gezuele E, et al. Immunoelectroosmophoresis-immunodiffusion in paracoccidioidomycosis. Sabouraudia 1973; 11: 39-41.
(32) Conti Díaz IA, Mackinnon JE, Calegari L, Casserone S. Estudio comparativo de la inmunoelectroforesis (IEF) y de la inmunoelectroosmoforesis-inmunodifusión (IEOF-ID aplicadas al diagnóstico de la paracoccidioidomicosis. Mycopathologia 1978; 63: 161-5.
(33) Ribeiro DO. Nova terapeutica para a blastomicose. Publicacoes médicas Sao Paulo 1940; 12: 36-54.
(34) Lacaz C da S, Sampaio SAP. Tratamento da blastomicose sul-americana con anfotericina B. Resultados preliminares. Rev Paul Med 1958; 52: 443-50.
(35) Restrepo A, Gomez I, Robledo J, Patiño MM, Cano LE. Itraconazole in the treatment of paracoccidioidomycosis. Rev Infect Dis 1987; 9(Suppl 1): S51-6.
Published
2010-03-31
How to Cite
1.
Conti Díaz IA. Regarding the centennial anniversary of the discovery of paracoccidioidomycosis. Rev. Méd. Urug. [Internet]. 2010Mar.31 [cited 2024Nov.15];26(1):45-0. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/445
Section
History of Medicine