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• W2037741330 abstract "Les déplacements « sous les tropiques å, les voyages inter-continentaux de nos contemporains, l'apport de population provenant de toutes régions du globe, notamment les multiples filières d'adoption, confrontent médecins praticiens et biologistes à des mycoses peu ou pas présentes en France métropolitaine et souvent mal connues. Certaines, bien typées, sont caractéristiques par leurs manifestations cliniques : teignes du cuir chevelu, piedra blanche, tokelau, Pityriasis versicolor tropical, Tinea nigra, mycétome, chromomycose. D'autres, en revanche, sont de diagnostic plus difficile, revêtant souvent une apparence trompeuse, dont le pronostic est aggravé chez des patients immunodéprimés. Ce sont la sporotrichose, les histoplasmoses, la pénicilliose à P. marneffei, la coccidioïdomycose, la blastomycose et la paracoccidioïdomycose. Enfin, plus exceptionnellement, il est aussi possible d'être confronté à une mycose rare, une entomophtoromycose, une maladie de lobo ou une rhinosporidiose. Une connaissance précise de l'épidémiologie (géographie) des espèces incriminées, les modalités habituelles de contamination, les principaux points d'appel cliniques s'avèrent indispensables pour suspecter ces mycoses. De même, les modalités de prélèvement, l'intérêt de l'examen direct, les cultures mycologiques et l'apport souvent obligé d'un examen anatomopathologique, seront nécessaires au diagnostic. Travellings in tropical areas and inter-continental trips taken by our contempories, populations coming from all over the world, specially through the multichannel adoptions of children, are numerous reasons to explain why today medical practitioners and biologists are more often faced with mycoses badly known or totally unknown in France. Some of these mycoses show typical clinical signs: Tinea capitis, white and black Piedra, Tinea imbricata, tropical Pityriasis versicolor, Tinea nigra, mycetoma, chromomycosis. On the other hand, the diagnosis of other mycoses such as sporotrichosis, histoplasmosis, Penicillium marneffei penicilliosis, coccidioïdomycosis, blastomycosis, paraccidioïdomycosis, lobomycosis, is difficult because of their misleading appearances. However their prognosis is aggravated in immuno-depressed patients. A sound knowledge of the epidemiology (geography), of the usual modes of contamination and of the chief clinical signs of these fungi species is essential for diagnosing mycoses. It is also important to have a good experience in taking samples, to practice direct microscopic examination, to be able to identify parasitic forms of the fungi in samples, and even to implement histologic evaluation which is to be compulsory. It is equally important that biologists be aware of the adequate culture mediums to be used and be able to recognize all aspects of fungi in culture. In order to help physicians, the authors have captured and collected all epidemiological, clinical, biological, and mycological data needed for proper diagnosis." @default.
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• W2037741330 date "2000-03-01" @default.
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• W2037741330 title "Les mycoses d'importation" @default.
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