{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:31:16Z","timestamp":1784194276607,"version":"3.55.0"},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Soc. Bras. Med. Trop."],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>INTRODUCTION: The study aimed to show the situation of paracoccidioidomycosis in the state of Maranh\u00e3o, Brazil. METHODS: This study is a descriptive case series developed in two stages. First, a survey of cases originating from the state of Maranh\u00e3o at the Instituto de Doen\u00e7as Tropicais Natan Portela, Piau\u00ed (IDTNP) from 1997 to 2007, and second, the clinical description of 29 cases diagnosed in the Centro de Refer\u00eancias em Doen\u00e7as Infecciosas e Parasit\u00e1rias, Maranh\u00e3o (CREDIP) from 2004 to 2010. RESULTS: Two hundred and sixteen cases have been cataloged at the IDTNP. West, east, and central regions of the state of Maranh\u00e3o recorded 90.3% of cases proving to be important areas for study. The western region, with a prevalence of 10.8\/100,000 inhabitants, has a significantly higher proportion of cases than the northern, southern, and eastern regions (p &lt; 0.05). The occurrence was higher in men with 89.3% of cases, and the male-to-female ratio was 8.4:1. The majority of patients were older than 20 years, lived in rural areas, and had farming or soil management as main occupation (73.8%). At CREDIP, 29 cases were diagnosed, of which 26 (89.6%) had multifocal manifestations. Mucous tissues were involved more (75.8%) frequently, followed by lymph nodes, skin, and lungs with 65.5%, 39% and 37.9 %, respectively. The diagnosis was made by combining direct examination, culture, and histopathology. CONCLUSIONS: The study shows the geographical distribution and the epidemiological and clinical aspects of paracoccidioidomycosis, revealing the significance of the disease to the state of Maranh\u00e3o.<\/jats:p>","DOI":"10.1590\/s0037-86822012000300020","type":"journal-article","created":{"date-parts":[[2012,6,30]],"date-time":"2012-06-30T07:34:02Z","timestamp":1341041642000},"page":"385-389","source":"Crossref","is-referenced-by-count":25,"title":["Paracoccidioidomycosis in the state of Maranh\u00e3o, Brazil: geographical and clinical aspects"],"prefix":"10.1590","volume":"45","author":[{"given":"Wilma Batista de","family":"Matos","sequence":"first","affiliation":[{"name":"Universidade Federal do Maranh\u00e3o; Universidade Federal do Maranh\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisele Maria Campelo dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal do Maranh\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitor Emmanuel Bou\u00e7as da","family":"Silva","sequence":"additional","affiliation":[{"name":"Unidade de Ensino Superior Dom Bosco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elo\u00edsa da Gra\u00e7a do Ros\u00e1rio","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Universidade Federal do Maranh\u00e3o; Universidade Federal do Maranh\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Rafael da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Maranh\u00e3o; Universidade Federal do Maranh\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1590\/S0037-86822006000300017","article-title":"Consenso em Paracoccidioidomicose","volume":"39","author":"Shikanai-Yasuda MA","year":"2006","journal-title":"Rev Soc Bras Med Trop","ISSN":"https:\/\/id.crossref.org\/issn\/0037-8682","issn-type":"print"},{"key":"ref2","first-page":"332","article-title":"Ocurrencia familiar de Blastomicose Sul-Americana","volume":"3","author":"Fava Netto FC","year":"1965","journal-title":"A prop\u00f3sito de 14 casos. 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