{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:04:13Z","timestamp":1785801853708,"version":"3.56.0"},"reference-count":14,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T00:00:00Z","timestamp":1660608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The Americas are home to biologically and clinically diverse endemic fungi, including <jats:italic>Blastomyces, Coccidioides<\/jats:italic>, <jats:italic>Emergomyces<\/jats:italic>, <jats:italic>Histoplasma, Paracoccidioides<\/jats:italic> and <jats:italic>Sporothrix<\/jats:italic>. In endemic areas with high risk of infection, these fungal pathogens represent an important public health problem.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This report aims to summarise the main findings of the regional analysis carried out on the status of the endemic mycoses of the Americas, done at the first International Meeting on Endemic Mycoses of the Americas (IMEMA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A regional analysis for the Americas was done, the 27 territories were grouped into nine regions. A SWOT analysis was done.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All territories reported availability of microscopy. Seventy percent of territories reported antibody testing, 67% of territories reported availability of <jats:italic>Histoplasma<\/jats:italic> antigen testing. None of the territories reported the use of (1\u20133)\u2010\u03b2\u2010d\u2010glucan. Fifty two percent of territories reported the availability of PCR testing in reference centres (mostly for histoplasmosis). Most of the territories reported access to medications such as trimethoprim\u2010sulfamethoxazole, itraconazole, voriconazole and amphotericin B (AMB) deoxycholate. Many countries had limited access to liposomal formulation of AMB and newer azoles, such as posaconazole and isavuconazole. Surveillance of these fungal diseases was minimal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A consensus emerged among meeting participants, this group concluded that endemic mycoses are neglected diseases, and due to their severity and lack of resources, the improvement of diagnosis, treatment and surveillance is needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.13510","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T07:54:25Z","timestamp":1659167665000},"page":"1179-1187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Current situation of endemic mycosis in the Americas and the Caribbean: Proceedings of the first international meeting on endemic mycoses of the Americas (<scp>IMEMA<\/scp>)"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8749-9809","authenticated-orcid":false,"given":"Diego H.","family":"Caceres","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention (CDC)  Atlanta Georgia USA"},{"name":"Center of Expertise in Mycology Radboudumc\/CWZ  Nijmegen The Netherlands"},{"name":"Studies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences Universidad del Rosario  Bogota Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C.","family":"Echeverri Tirado","sequence":"additional","affiliation":[{"name":"Medical Mycology Group, School of Medicine, Microbiology and Parasitology Department Universidad de Antioquia  Medell\u00edn Antioquia Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2045-3317","authenticated-orcid":false,"given":"Alexandro","family":"Bonifaz","sequence":"additional","affiliation":[{"name":"Hospital General de Mexico Dr Eduardo Liceaga  Ciudad de Mexico Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4000-4981","authenticated-orcid":false,"given":"Antoine","family":"Adenis","sequence":"additional","affiliation":[{"name":"Centre d'Investigation Clinique Antilles Guyane Inserm 1424  Cayenne France"},{"name":"Centre Hospitalier de Cayenne  Cayenne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz L.","family":"Gomez","sequence":"additional","affiliation":[{"name":"Studies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences Universidad del Rosario  Bogota Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Lizette Banda","family":"Flores","sequence":"additional","affiliation":[{"name":"Universidad Peruana Cayetano Heredia (UPCH), Hospital Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0955-9340","authenticated-orcid":false,"given":"Cristina E.","family":"Canteros","sequence":"additional","affiliation":[{"name":"Departamento de Micolog\u00eda, Instituto Nacional de Enfermedades Infecciosas (INEI) Administraci\u00f3n Nacional de Laboratorios e Institutos de Salud (ANLIS) \"Dr. Carlos G. Malbr\u00e1n\"  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Wagner","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Infection Control Universidade Federal do Maranh\u00e3o, UFMA  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"},{"name":"Instituto D'Or de Pesquisa e Ensino, IDOR, Hospital UDI  S\u00e3o Luis Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Arathoon","sequence":"additional","affiliation":[{"name":"Asociaci\u00f3n de Salud Integral  Guatemala City Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6192-1610","authenticated-orcid":false,"given":"Elia Ramirez","family":"Soto","sequence":"additional","affiliation":[{"name":"Centro Nacional de Enfermedades Tropicales (CENETROP)  Santa Cruz Bolivia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7034-2418","authenticated-orcid":false,"given":"Flavio","family":"Queiroz\u2010Telles","sequence":"additional","affiliation":[{"name":"Department of Public Health Federal University of Paran\u00e1  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7522-0281","authenticated-orcid":false,"given":"Ilan S.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9935-2588","authenticated-orcid":false,"given":"Jeannete","family":"Zurita","sequence":"additional","affiliation":[{"name":"Facultad de Medicina Pontificia Universidad Cat\u00f3lica del Ecuador  Quito Ecuador"},{"name":"Unidad de Investigaciones en Biomedicina, Zurita &amp; 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