%0 Journal Article
%T Micoses sist¨ºmicas: fatores associados ao ¨®bito em pacientes com infec£¿£¿o pelo v¨ªrus da imunodefici¨ºncia humana, Cuiab¨¢, Estado de Mato Grosso, 2005-2008
%A Ribeiro
%A Luciano Correa
%A Hahn
%A Rosane Christine
%A Favalessa
%A Olivia Cometi
%A Tadano
%A Tomoko
%A Fontes
%A Cor Jesus Fernandes
%J Revista da Sociedade Brasileira de Medicina Tropical
%D 2009
%I Sociedade Brasileira de Medicina Tropical - SBMT
%R 10.1590/S0037-86822009000600017
%X between 2005 and 2008, the prevalence of systemic mycosis among 1,300 hiv/aids patients in cuiab¨¢, mato grosso, was 4.6%. the fungus species isolated were cryptococcus neoformans in 50%, cryptococcus gattii in 1.6%, cryptococcus spp in 6.6%, histoplasma capsulatum in 38.3% and paracoccidioides brasiliensis in 3.3%. death was recorded in the cases of 32 patients (53.3%), and cryptococcosis was the main cause. the cd4+ t lymphocyte count was low and similar among patients who survived or died due to systemic mycosis. the factors independently associated with the deaths of these patients were alcoholism (or: 8.2; 95% ci: 1.4-62.1; p = 0005) and the mean level of lactate dehydrogenase [758 (182) u/l vs. 416 (268) u/l; p < 0001]. the findings showed that systemic mycosis was highly lethal among the patients with hiv/aids in cuiab¨¢ and suggested that clinical-laboratory characteristics such as alcoholism and early elevation of lactate dehydrogenase may be factors relating to worse prognosis under these conditions.
%K human immunodeficiency virus
%K systemic mycosis
%K lethality.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0037-86822009000600017&lng=en&nrm=iso&tlng=en