{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:17:17Z","timestamp":1767676637263},"reference-count":48,"publisher":"Wiley","issue":"S5","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The information on the prevalence of fungal infections in the Caribbean region including Trinidad and Tobago (population 1\u00a0339\u00a0000 million) is scanty. Tinea capitis is common in children, being predominant in those of African descent, with no definitive estimate. Asthma is also common affecting 77\u00a0000\u2013139\u00a0000 adults with an estimated 1927\u20133491 affected by allergic bronchopulmonary aspergillosis (<jats:styled-content style=\"fixed-case\">ABPA<\/jats:styled-content>) and 2544\u20134608 with severe asthma and fungal sensitisation (<jats:styled-content style=\"fixed-case\">SAFS<\/jats:styled-content>). An estimated 23\u00a0763 women have \u22654 attacks of vaginal candidiasis annually. Among the estimated 14\u00a0000 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected patients, 750 cases of oesophageal candidiasis, 400 cases of Pneumocystis pneumonia (<jats:styled-content style=\"fixed-case\">PCP<\/jats:styled-content>) and 50 cases of cryptococcal meningitis are anticipated. <jats:italic>Histoplasma capsulatum<\/jats:italic> is endemic in the islands with a 49% skin positivity rate in those &lt;60\u00a0years old. Three cases of cutaneous histoplasmosis in <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content> patients have been reported. Three cases of pulmonary histoplasmosis were reported among German biologists following exposure to bats in a cave in Trinidad. Using a low mean international incidence figure for candidaemia of 5\/100\u00a0000, 67 cases of candidaemia are estimated. The burden of fungal infections in Trinidad and Tobago is considerable and requires appropriate diagnostic and clinical expertise.<\/jats:p>","DOI":"10.1111\/myc.12394","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T06:51:15Z","timestamp":1444373475000},"page":"80-84","source":"Crossref","is-referenced-by-count":26,"title":["Burden of serious fungal infections in Trinidad and Tobago"],"prefix":"10.1111","volume":"58","author":[{"given":"David W.","family":"Denning","sequence":"first","affiliation":[{"name":"The University of Manchester Manchester Academic Health Science Centre Manchester UK"},{"name":"National Aspergillosis Centre, The University Hospital of South Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harish C.","family":"Gugnani","sequence":"additional","affiliation":[{"name":"Microbiology and Epidemiology Saint James School of Medicine Kralendjik, Bonaire Dutch Caribbean"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,9]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"346","article-title":"Tinea capitis in Trinidad","volume":"96","author":"Moore MK","year":"1993","journal-title":"J Trop Med Hyg"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.4269\/ajtmh.1962.11.245","article-title":"Occurrence of Histoplasma capsulatum on the island of Trinidad, B.W.I: I. 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