INFECTIOUS DISEASES OF BRAZIL Stephen Berger, MD Infectious Diseases of Brazil - 2013 edition Infectious Diseases of Brazil - 2013 edition Stephen Berger, MD Copyright © 2013 by GIDEON Informatics, Inc. All rights reserved. Published by GIDEON Informatics, Inc, Los Angeles, California, USA. www.gideononline.com Cover design by GIDEON Informatics, Inc No part of this book may be reproduced or transmitted in any form or by any means without written permission from the publisher. Contact GIDEON Informatics at [email protected]. ISBN-13: 978-1-61755-449-0 ISBN-10: 1-61755-449-9 Visit http://www.gideononline.com/ebooks/ for the up to date list of GIDEON ebooks. DISCLAIMER: Publisher assumes no liability to patients with respect to the actions of physicians, health care facilities and other users, and is not responsible for any injury, death or damage resulting from the use, misuse or interpretation of information obtained through this book. Therapeutic options listed are limited to published studies and reviews. Therapy should not be undertaken without a thorough assessment of the indications, contraindications and side effects of any prospective drug or intervention. Furthermore, the data for the book are largely derived from incidence and prevalence statistics whose accuracy will vary widely for individual diseases and countries. Changes in endemicity, incidence, and drugs of choice may occur. The list of drugs, infectious diseases and even country names will vary with time. Scope of Content: Disease designations may reflect a specific pathogen (ie, Adenovirus infection), generic pathology (Pneumonia - bacterial) or etiologic grouping (Coltiviruses - Old world). Such classification reflects the clinical approach to disease allocation in the Infectious Diseases Module of the GIDEON web application. Similarly, a number of diseases which are generally diagnosed and treated outside of the field of Infectious Diseases are not included, despite the fact that a clear infectious etiology exists. Examples include Peptic ulcer, Tropical spastic paraparesis, Hairy-cell leukemia, Creutzfeldt-Jakob disease, Human papilloma virus infections, etc. In contrast, a number of other entities of unknown etiology which do present to Infectious Diseases specialists have been included: Kawasaki's disease, Chronic fatigue syndrome, Kikuchi and Kimura diseases. Several minor infections having minimal relevance to the field of Geographic Medicine are not covered: Paronychia, Otitis externa, Molluscum contagiosum, etc. © 2013 GIDEON Informatics, Inc. www.gideononline.com All Rights Reserved. Page 1 of 580 Infectious Diseases of Brazil - 2013 edition Introduction: The GIDEON e-book series Infectious Diseases of Brazil is one in a series of GIDEON ebooks which summarize the status of individual infectious diseases, in every country of the world. Data are based on the GIDEON web application (www.gideononline.com) which relies on standard text books, peer-review journals, Health Ministry reports and ProMED, supplemented by an ongoing search of the medical literature. Chapters are arranged alphabetically, by disease name. Each section is divided into four sub-sections: 1. Descriptive epidemiology 2. Summary of clinical features 3. Status of the disease in Brazil 4. References The initial items in the first section, Descriptive epidemiology, are defined as follows: Agent Classification (e.g., virus, parasite) and taxonomic designation. Reservoir Any animal, arthropod, plant, soil or substance in which an infectious agent normally lives and multiplies, on which it depends primarily for survival, and where it reproduces itself in such a manner that it can be transmitted to a susceptible host. Vector An arthropod or other living carrier which transports an infectious agent from an infected organism or reservoir to a susceptible individual or immediate surroundings. Vehicle The mode of transmission for an infectious agent. This generally implies a passive and inanimate (i.e., non-vector) mode. There are 348 generic infectious diseases in the world today. 251 of these are endemic, or potentially endemic, to Brazil. A number of other diseases are not relevant to Brazil and have not been included in this book. In addition to endemic diseases, we have included all published data regarding imported diseases and infection among expatriates from Brazil. The availability and quality of literature regarding specific infectious diseases vary from country to country. As such, you may find that many of the sections in this book are limited to a general discussion of the disease itself - with no data regarding Brazil. This is a book about the geography and epidemiology of Infection. Comprehensive and up-to-date information regarding the causes, diagnosis and treatment of each disease is available in the GIDEON web application. Many of the diseases are generic. For example, such designations as Pneumonia bacterial and Urinary tract infection include a number of individual diseases. These appear under the subheading, Synonyms, listed under each disease. We welcome feedback, and will be pleased to add any relevant, sourced material. Email us at [email protected] For more information about GIDEON see the section About GIDEON and visit www.gideononline.com Last updated: February 19, 2013 © 2013 GIDEON Informatics, Inc. www.gideononline.com All Rights Reserved. Page 2 of 580 Infectious Diseases of Brazil - 2013 edition Table of Contents Introduction: The GIDEON e-book series ......................... 2 Common cold+ .......................................................... 106 Actinomycosis .............................................................. 6 Conjunctivitis - inclusion............................................. 107 Adenovirus infection+.................................................... 8 Conjunctivitis - viral+ ................................................. 108 Aeromonas & marine Vibrio infx.+................................. 11 Cryptococcosis+ ........................................................ 109 African tick bite fever* ................................................ 13 Cryptosporidiosis+ ..................................................... 112 AIDS+....................................................................... 15 Cutaneous larva migrans+ .......................................... 114 Amoeba - free living+.................................................. 24 Cyclosporiasis+ ......................................................... 116 Amoebic abscess+ ...................................................... 26 Cysticercosis+ ........................................................... 117 Amoebic colitis+ ......................................................... 27 Cytomegalovirus infection+ ......................................... 120 Anaplasmosis* ........................................................... 30 Dengue+ .................................................................. 123 Angiostrongyliasis+ ..................................................... 32 Dermatophytosis+ ..................................................... 132 Angiostrongyliasis - abdominal+ ................................... 34 Dicrocoeliasis............................................................ 133 Animal bite-associated infection ................................... 36 Dientamoeba fragilis infection+ ...................................134 Anisakiasis+............................................................... 37 Dioctophyme renalis infection+....................................135 Anthrax+ ................................................................... 39 Diphtheria+ .............................................................. 136 Ascariasis+ ................................................................ 44 Diphyllobothriasis+ .................................................... 140 Aspergillosis+............................................................. 47 Dipylidiasis+ ............................................................. 141 Babesiosis*................................................................ 49 Dirofilariasis+............................................................ 142 Bacillary angiomatosis+ ............................................... 51 Eastern equine encephalitis+....................................... 144 Bacillus cereus food poisoning+ .................................... 52 Echinococcosis - American polycystic+..........................146 Bacterial vaginosis+ .................................................... 54 Echinococcosis - unilocular+........................................ 148 Balantidiasis .............................................................. 56 Ehrlichiosis - human monocytic+..................................150 Bartonellosis - cat borne+ ............................................ 57 Endocarditis - infectious ............................................. 152 Bartonellosis - other systemic+..................................... 59 Enterobiasis+ ............................................................ 153 Bertiella and Inermicapsifer ......................................... 61 Enterovirus infection+ ................................................ 155 + Blastocystis hominis infection ..................................... 62 Entomophthoramycosis+ ............................................ 158 Botulism+ .................................................................. 64 Epidural abscess ....................................................... 160 Brain abscess............................................................