Revista da Sociedade Brasileira de Medicina Tropical最新文献

Analysis of vulnerabilities and negatives outcomes of tuberculosis treatment in the Municipality of São Paulo, 2019 and 2021. 2019年和2021年<s:1>圣保罗市结核病治疗的脆弱性和负面结果分析

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0445-2024

Rodrigo Contrera do Rio, Maria Josefa Penón Rujula, Rita Barradas Barata

{"title":"Analysis of vulnerabilities and negatives outcomes of tuberculosis treatment in the Municipality of São Paulo, 2019 and 2021.","authors":"Rodrigo Contrera do Rio, Maria Josefa Penón Rujula, Rita Barradas Barata","doi":"10.1590/0037-8682-0445-2024","DOIUrl":"https://doi.org/10.1590/0037-8682-0445-2024","url":null,"abstract":"Background: To study the unfavorable outcomes of tuberculosis treatment, presenting individual, social, and program vulnerabilities in homeless, HIV-infected individuals and individuals living in areas of high social vulnerability in the city of São Paulo.Methods: Cases were reported, confirmed, and monitored using the tuberculosis control program in the city of São Paulo. Social vulnerability was assessed using the São Paulo Social Vulnerability Index (SVI). Individuals analyzed in the study with more than one vulnerability condition were allocated to more than one vulnerability group, and the outcomes were analyzed separately. The reference category included the remaining cases. The following outcomes were examined: death, treatment abandonment, tuberculosis recurrence, and drug resistance.Results: A total of 14,221 cases reported in 2019 and 2021 were studied; 11,322 lived in areas of high social vulnerability, 2,753 were HIV-infected, and 1,388 were homeless (the total exceeded 14,221, given that there were individuals with more than one vulnerability). All groups had higher incidence, prevalence, and mortality rates, as well as a higher risk of unfavorable outcomes. The risks were highest for homeless individuals, followed by HIV-infected individuals and those living in areas of high social vulnerability.Conclusions: Compared to individuals without the analyzed vulnerabilities, we found that unfavorable tuberculosis treatment outcomes were associated with different types of vulnerabilities, reflecting individual, social, and program vulnerabilities. Although the individuals studied had access to treatment, several vulnerabilities impacted the likelihood of successful treatment and challenged the tuberculosis control.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e04452025"},"PeriodicalIF":2.3,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Crossing the health misinformation crisis: Lessons from the giant hammerhead flatworm. 跨越健康错误信息危机：来自巨型锤头扁虫的教训。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0212-2025

Hudson Alves Pinto, Alan Lane de Melo, Vitor Luís Tenório Mati

{"title":"Crossing the health misinformation crisis: Lessons from the giant hammerhead flatworm.","authors":"Hudson Alves Pinto, Alan Lane de Melo, Vitor Luís Tenório Mati","doi":"10.1590/0037-8682-0212-2025","DOIUrl":"https://doi.org/10.1590/0037-8682-0212-2025","url":null,"abstract":"We examined the recent surge in misinformation surrounding giant hammerhead flatworms (Bipaliinae, primarily Bipalium kewense), which has generated widespread confusion across multiple countries regarding their risks to human health. Prompted by a routine taxonomic identification, this study aims to restore scientific accuracy and address the growing disconnect between science and the public concerning these worms, which have become an Internet sensation. In late 2023, we were asked to identify specimens collected in Pedro Leopoldo, Minas Gerais, Brazil, that had already attracted considerable online and regional media attention, warning of a \"new, invasive, and dangerous worm\" and its supposed threats. After confirming the species was B. kewense, we reviewed the literature, constructed a timeline of scientific and media reports, and compared information retrieved from Google News and Google Scholar. Our findings indicate that while academic research on invasive species has steadily increased, sensationalized and often inaccurate content on hammerhead worms proliferated in the general media, particularly between 2017 and 2018. Notably, claims (2023-2024) regarding the toxicity of Bipalium spp. lack scientific support. This case illustrates the broader challenges of health misinformation in the digital age, where misleading narratives rapidly transcend countries and languages. We discuss potential drivers, including communication gaps between academia and the public, the influence of media and social networks, and behavioral factors underlying misinformation. Finally, we highlight the urgent need for innovative strategies and coordinated efforts to strengthen online science communication and ensure the dissemination of accurate information.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e02122025"},"PeriodicalIF":2.3,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Human Visceral Leishmaniasis in Brazil in the Past 20 Years: An Epidemiologic Update. 过去20年巴西内脏利什曼病：流行病学最新进展

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0019-2025

Fernanda Moreau de Almeida Soares, Thiago Soares Rocha, Everton Rusciolelli Nascimento, Gisele Lopes de Oliveira, Marcio Bezerra Santos, Sebastião Rodrigo Ferreira

{"title":"Human Visceral Leishmaniasis in Brazil in the Past 20 Years: An Epidemiologic Update.","authors":"Fernanda Moreau de Almeida Soares, Thiago Soares Rocha, Everton Rusciolelli Nascimento, Gisele Lopes de Oliveira, Marcio Bezerra Santos, Sebastião Rodrigo Ferreira","doi":"10.1590/0037-8682-0019-2025","DOIUrl":"https://doi.org/10.1590/0037-8682-0019-2025","url":null,"abstract":"Background: Human visceral leishmaniasis (HVL) is a neglected tropical disease that remains highly lethal if left untreated and continues to affect public health. In Brazil, Leishmania infantum is the main etiological agent, and domestic dogs are considered the primary reservoir. Considering the historic importance of leishmaniasis in Brazil, we aimed to gather information on the epidemiology of HVL in Brazil over 20 years.Methods: We conducted an integrative review through a bibliographic survey of articles published between 2002 and 2022.Results: The process resulted in the inclusion of 75 studies. Most of these studies reported data from the northeastern region, which continues to present the highest incidence rates nationwide. Most cases were concentrated in men and children under 10 years of age, particularly in urban and peri-urban areas. Although national case numbers have recently declined in Brazil, the persistence of endemic areas, driven by poverty, inadequate sanitation, deforestation, and unplanned urban growth, underscores the ongoing public health relevance of HVL.Conclusions: The ongoing spread of HVL and variation in its occurrence across regions underscore the unequal impact of the disease. HVL is not only a parasitic infection but also a manifestation of broader structural inequalities.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e00192025"},"PeriodicalIF":2.3,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cutaneous clues to a rare osseous manifestation of paracoccidioidomycosis: The importance of early diagnosis. 皮肤线索的罕见骨表现的副球孢子菌病：早期诊断的重要性。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0232-2025

Márcio Fellipe Menezes Viana, Rafael Fantelli Stelini, Andréa Fernandes Eloy da Costa França, Daniela Tsukumo Mitti, Luiz Fernando Monte Borella, Fabiano Reis

引用次数: 0

Media Information Compared to Scientific Studies Regarding Piranha Attacks in Brazil. 关于巴西食人鱼袭击的媒体信息与科学研究的比较。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0213-2025

Patrícia Tatiane Gomes, Sheila Canevese Rahal, Edson Luiz Fávero Junior, Adriana Lúcia Mendes, Itamar Alves Martins, Vidal Haddad Júnior

{"title":"Media Information Compared to Scientific Studies Regarding Piranha Attacks in Brazil.","authors":"Patrícia Tatiane Gomes, Sheila Canevese Rahal, Edson Luiz Fávero Junior, Adriana Lúcia Mendes, Itamar Alves Martins, Vidal Haddad Júnior","doi":"10.1590/0037-8682-0213-2025","DOIUrl":"https://doi.org/10.1590/0037-8682-0213-2025","url":null,"abstract":"Background: Piranhas are carnivorous fish that inhabit rivers in Central and South America, and they are popularly recognized as relentless hunters of continental waters. Their reputation as killers is fueled by folklore and cinematographic works, which contribute to the creation of myths, generation of fear among people, and the vilification of fish.Methods: We analyzed several media reports on piranha bites that occurred in Brazil, seeking to demystify these attacks as they are described in the lay press, using the injuries and circumstances observed as a basis. In addition, we highlighted human actions that directly affect piranha behavior.Results: Of the 711 cases reported in humans in the last 10 years, 82.27% were classified as mild, with single \"punch-out\"-shaped injuries associated with the behavior of males to protect nests and larvae in dams and lakes. Seasonal analysis revealed that 29.62% of attacks occurred during the breeding season and 25.92% were associated with improper disposal of food in rivers.Conclusions: Media coverage of piranha attacks tends to negatively reinforce popular perceptions of the behavior of these species toward humans, diverting attention from human responsibility for the environmental impacts that directly influence the occurrence of these injuries.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e02132025"},"PeriodicalIF":2.3,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aedes aegypti var. queenslandensis: the pale phenotype of Aedes aegypti L. has landed in Amapá. 昆士兰埃及伊蚊：淡色型埃及伊蚊已在阿曼<e:1>登陆。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-10-03 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0059-2025

José Ferreira Saraiva, Dayse Swelen da Silva Ferreira, Felipe Greiner Amoras, Brenda Landrine Vilhena Nunes, Maria Luiza Cechim de Seixas Duarte, Fred Júlio Costa Monteiro, Ahana Maitra, Allan Kardec Ribeiro Galardo

引用次数: 0

First record of Panstrongylus megistus (Burmeister, 1835) (Hemiptera, Reduviidae, Triatominae) from Ilha Grande, Rio de Janeiro, Brazil. 巴西里约热内卢格兰德岛首次记录巨型圆蝇（巴西，1835年）（半翅目，红蝇科，斑蝽科）。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0025-2025

Allan Pitta Seabra, João Paulo Sales Oliveira-Correia, Quezia Moura Oliveira, Maria Clara Rego E Silva, Alena Mayo Iñiguez, Cleber Galvão

引用次数: 0

Managing leprosy reactions with secukinumab: Insights from a case series. 用secukinumab管理麻风病反应：来自一系列病例的见解。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0118-2025

Luciana Vilela Gomide, João Paulo Turri Brufatto, Thiago Jessé Kucarz, Paulo Eduardo Neves Ferreira Velho, Andréa Fernandes Eloy da Costa França

引用次数: 0

Unusual report of an immunocompetent patient with atypical cutaneous leishmaniasis caused by Leishmania (Leishmania) infantum in Minas Gerais, Brazil. 巴西米纳斯吉拉斯州发生一例由利什曼原虫（利什曼原虫）婴儿引起的非典型皮肤利什曼病免疫功能正常患者的罕见报告。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0314-2024

Rebeca Mendes Rocha, Jackeline Maria de Sousa Lima Lopes, Emanuelle de Moura Santos Xavier, Rosanna Lorrane Francisco Dos Reis Matos, Dayse Marcielle de Souza Lopes, Flávia Carvalho Bitencourt de Oliveira, Felipe Dutra Rêgo, José Dilermando Andrade, Célia Maria Ferreira Gontijo, Leandro de Freitas Teles, Jamille Fernandes Lula, Luciano Freitas Fernandes, André Luiz Sena Guimarães, Ana Paula Venuto Moura, Thallyta Maria Vieira, Sílvio Fernando Guimarães de Carvalho

{"title":"Unusual report of an immunocompetent patient with atypical cutaneous leishmaniasis caused by Leishmania (Leishmania) infantum in Minas Gerais, Brazil.","authors":"Rebeca Mendes Rocha, Jackeline Maria de Sousa Lima Lopes, Emanuelle de Moura Santos Xavier, Rosanna Lorrane Francisco Dos Reis Matos, Dayse Marcielle de Souza Lopes, Flávia Carvalho Bitencourt de Oliveira, Felipe Dutra Rêgo, José Dilermando Andrade, Célia Maria Ferreira Gontijo, Leandro de Freitas Teles, Jamille Fernandes Lula, Luciano Freitas Fernandes, André Luiz Sena Guimarães, Ana Paula Venuto Moura, Thallyta Maria Vieira, Sílvio Fernando Guimarães de Carvalho","doi":"10.1590/0037-8682-0314-2024","DOIUrl":"10.1590/0037-8682-0314-2024","url":null,"abstract":"Cutaneous leishmaniasis is endemic in Minas Gerais, Brazil; however, data on the circulating species remain limited. This study identified Leishmania species in he skin samples of patients in Montes Claros using molecular methods. Leishmania (Viannia) braziliensis was found in ten samples, and Leishmania (Leishmania) infantum in one, representing an unusual case of cutaneous leishmaniasis caused by L. infantum in an immunocompetent patient in the state. The patient, a 62-year-old woman presented with four atypical papular lesions on the arm, forearm, and back, with no systemic symptoms. These results highlighted the need for enhanced epidemiological surveillance.","PeriodicalId":21199,"journal":{"name":"Revista da Sociedade Brasileira de Medicina Tropical","volume":"58 ","pages":"e03142024"},"PeriodicalIF":2.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Performance evaluation of rapid diagnostic tests for Chagas disease in Jutiapa, Guatemala. 危地马拉胡蒂亚帕恰加斯病快速诊断检测试剂盒的性能评价。

IF 2.3 4区医学

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1590/0037-8682-0065-2025

Karla Lange, Andrea Marchiol, Rafael Herazo, Marianela Menes, Carlota Monroy, Antonieta Rodas, Belter Alcántara, Karen Carrillo, María Jesús Pinazo

引用次数: 0