Evidence map›Paper›PMID 41494000›Full record

ReviewPLoS neglected tropical diseases2026

Paracoccidioidomycosis in the 21st century: Challenges and milestones.

James Venturini, Norma Beatriz Fernandez, Priscila Marques de Macedo, Ricardo de Souza Cavalcante, Diego H Caceres, Clayton Luiz Borges, Anderson Messias Rodrigues, Antonio Luiz Dal Bello Gasparoto, Gustavo Giusiano, Wellington Santos Fava and 23 more

Abstract readHistorical ArticleReview
In one paragraph

Review in PLoS neglected tropical diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. FDG-PET/CT Demonstrates Superior Detection of Multiorgan Involvement in Paracoccidioidomycosis Compared With Conventional Staging.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

James VenturiniSchool of Medicine, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.ORCID https://orcid.org/0000-0003-0035-2439
Norma Beatriz FernandezLaboratorio de Micología Clínica, División Infectología, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina.
Priscila Marques de MacedoFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Rio de Janeiro, Brazil.
Ricardo de Souza CavalcanteSão Paulo State University, UNESP, Botucatu School of Medicine, Botucatu, São Paulo, Brazil.
Diego H CaceresStudies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.
Clayton Luiz BorgesDepartment of Biochemistry and Molecular Biology, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
Anderson Messias RodriguesDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Antonio Luiz Dal Bello GasparotoSchool of Medicine, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Gustavo GiusianoDepartment of Mycology, Instituto de Medicina Regional, Universidad Nacional del Nordeste, CONICET, Resistencia, Argentina.
Wellington Santos FavaSchool of Medicine, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Marcus de Melo TeixeiraSchool of Medicine, Universidade de Brasilia, Brasilia, Federal District, Brazil.
Erika Seki KioshimaDepartment of Clinical Analyses and Biomedicine, Universidade Estadual de Maringá, Maringá, Paraná, Brazil.
Igor Massahiro de Souza SuguiuraDepartment of Immunology, Parasitology and General Pathology, Universidade Estadual de Londrina, Londrina, Paraná, Brazil.
Angel GonzalezSchool of Microbiology, Universidad de Antioquia, Medellín, Colombia.
Beatriz L GómezStudies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.
Oliver K ClayStudies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.
Renata Rebello Mendes GomesDepartment of Nutrition, Universidade Federal de Sergipe, Aracaju, Sergipe, Brazil.
Adriana Pardini VicentiniCenter of Immunology, Instituto Adolfo Lutz, São Paulo, São Paulo, Brazil.
Rosely Maria Zancopé-OliveiraFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Rio de Janeiro, Brazil.
Jose Guillermo Pereira BrunelliCentro de Especialidades Dermatológicas, Ministerio de Salud Pública y Bienestar Social de Paraguay, San Lorenzo, Paraguay.
Rosana PucciaDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Eva BurgerDepartment of Microbiology and Immunology, Universidade Federal de Alfenas, Alfenas, Minas Gerais, Brazil.
Luciane Alarcão Dias-MelicioSão Paulo State University, UNESP, Botucatu School of Medicine, Botucatu, São Paulo, Brazil.
Maria Jose Soares Mendes GianniniDepartment of Clinical Analysis, School of Pharmaceutical Sciences, Universidade Estadual Paulista - UNESP, Araraquara, São Paulo, Brazil.
Roxana Claudia Iquize CondoriCaja Nacional de Salud de Bolivia/Clinica Las Panosas, Tarija, Bolivia.
Anamelia Lorenzetti BoccaDepartment of Cell Biology, University of Brasilia, Brasilia, Federal District, Brazil.
Maria Sueli Soares FelipePostgraduate Program in Genomic Sciences and Biotechnology, Universidade Católica de Brasília, and Universidade de Brasília, Brasília, Federal District, Brazil.
Maria Aparecida Shikanai-YasudaDepartamento de Infectologia e Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Gil BenardLaboratorio de Micologia Médica (LIM-53), Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, São Paulo, Brazil.
Ziadir Francisco CoutinhoFundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Centro de Saúde Escola Germano Sinval Faria, Rio de Janeiro, Rio de Janeiro, Brazil.
Simone Schneider WeberSchool of Pharmaceutical Sciences, Food and Nutrition, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Rinaldo Poncio MendesSão Paulo State University, UNESP, Botucatu School of Medicine, Botucatu, São Paulo, Brazil.
Anamaria Mello Miranda PaniagoSchool of Medicine, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParacoccidioidomycosis (PCM) is a neglected tropical fungal disease endemic to Latin America that predominantly affects rural and socioeconomically vulnerable communities. Despite significant morbidity, mortality, and substantial public health implications, PCM remains frequently underdiagnosed and underreported, mainly due to inadequate disease awareness and insufficient surveillance systems. This narrative review highlights recent milestones in the etiology, ecology, epidemiology, clinical manifestations, diagnosis, treatment, antifungal drugs, host-pathogen interactions, genetics, omics approaches, sequelae, and social aspects of PCM. Additionally, it identifies ongoing challenges and critical knowledge gaps for future research.

methodsA systematic retrieval of articles published between 2001 and 2025 was conducted from PubMed and the Virtual Health Library (BVS), using descriptors ("Paracoccidioidomycosis" OR "Paracoccidioides"). Duplicate records were removed through the Rayyan QCRI, and two reviewers independently evaluated the articles according to predefined thematic areas.

findingsRecent advancements have enhanced our understanding of PCM epidemiology, driven by ecological shifts and socioeconomic transformations that alter disease distribution and clinical presentation. Although substantial progress has been made in identifying and characterizing the causative agent, Paracoccidioides spp., challenges persist in the diagnostic process owing to limited laboratory methodologies and the absence of standardized tests. Current therapeutic options face limitations such as prolonged treatment durations, frequent drug interactions, and complicating disease management. Moreover, PCM significantly affects patients' quality of life through persistent physical sequelae, psychological impacts, and socioeconomic consequences, including stigmatization and reduced work capacity.

conclusionAddressing these multifaceted challenges requires integrated approaches that combine improved surveillance, enhanced diagnostic tools, novel therapeutic strategies, and targeted social support programs. Sustained collaborative research and international cooperation are essential to fill existing knowledge gaps and achieve better health outcomes for affected populations.

Indexed as

Neglected DiseasesParacoccidioidesParacoccidioidomycosisAntifungal AgentsEcological and Environmental PhenomenaHistory, 21st CenturyHumansLatin AmericaSocioeconomic FactorsAntifungal Agents

Identifiers

PMID41494000
PMCPMC12774349

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.