ArticleJournal of fungi (Basel, Switzerland)2026
Localized Cutaneous Versus Deep Sporotrichosis at Hospital das Clínicas, UFMG, Belo Horizonte, Brazil: A Cohort of 213 Culture-Confirmed Cases, 2011 to 2026.
Helena Duani, Frederico Figueiredo Amâncio, Alexandre Soares Bifano, Vitória Baltazar Mattos, Kaique Veloso Silva, Beatriz Vieira Melo, Heloisa Filipe Pascoal, Rafael Lima Sendin, Marcus Vinicius Carvalho Akerman, Felipe Torreão Corrêa Thiemann and 5 more
Abstract read
In one paragraphArticle in Journal of fungi (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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What it found
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2 · The registryThe trial behind it
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4 · The recordCorrections and comments
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5 · Who and what moneyAuthors and funding
15 authors.
Helena DuaniInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0000-0001-9345-018X Frederico Figueiredo AmâncioInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0000-0002-5732-7173 Alexandre Soares BifanoPostgraduate Program in Infectious Diseases and Tropical Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0007-7580-7334 Vitória Baltazar MattosInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0008-9847-9625 Kaique Veloso SilvaInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0006-1458-2269 Beatriz Vieira MeloInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0003-4821-4489 Heloisa Filipe PascoalInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0009-3058-037X Rafael Lima SendinInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0002-2921-8049 Marcus Vinicius Carvalho AkermanInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0005-1697-623X Felipe Torreão Corrêa ThiemannInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0004-9431-9406 Giulia Bravim GonçalvesInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0009-0009-9263-6631 Adriana Cristina Camargos de RezendePostgraduate Program in Infectious Diseases and Tropical Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0000-0001-8585-984X Shinfay Maximilian LiuMicrobiology Laboratory, Hospital das Clínicas, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.ORCID 0000-0003-3683-5109 Marise Oliveira FonsecaInfectious Diseases Service, Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 30130-100, Minas Gerais, Brazil.
Funding
Conselho Nacional de Desenvolvimento Científico e TecnológicoFundação de Amparo à Pesquisa do Estado de Minas Gerais
6 · The paper itselfAbstract
backgroundThe zoonotic epidemic of sporotrichosis caused by
methodsThe study involves a retrospective observational cohort of patients with sporotrichosis treated at a quaternary university hospital in Belo Horizonte between 2011 and 2026, restricted to culture-positive cases. Localized cutaneous disease was compared with deep infection using logistic regression adjusted for age and sex.
resultsOf 313 patients, 213 had a positive culture. The median age was 41 years, and 54.0% were women. Lymphocutaneous disease predominated (54.0%), and contact with cats was reported by 53.1%. The median treatment duration was 150 days. Among the 101 patients with a defined outcome, 97 were cured (96.0%), with no documented treatment failure. All four sporotrichosis-related deaths occurred in the deep infection group, which was independently associated with comorbidity (OR 9.69; 95% CI 2.52 to 37.23) and an immunosuppressive condition (OR 6.61; 95% CI 1.89 to 23.09).
conclusionsLocalized cutaneous sporotrichosis was cured in nearly all the patients with documented follow-up, whereas mortality was confined to deep infection associated with comorbidities and immunosuppression.
Indexed as
Brazilcohortimplantation mycosisitraconazoleSporothrix brasiliensissporotrichosis
Identifiers
PMID42783980
PMCPMC13608755
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