[Micosis among five highly underprivileged Mexican communities].
BACKGROUND
In many small rural communities in Mexico, medical care is deficient, empirical or absent.


OBJECTIVE
In order to improve health coverage in rural areas, the Mexican Institute of Social Security organizes Medical and Surgical Meetings of various specialties including Dermatology and Mycology (MSDM). These include visits to rural hospitals by dermatologists and a mycologist to care for underprivileged communities. In addition to taking samples, they establish the clinical diagnosis and indicate medical and/or surgical treatment, with follow-up visits when needed.


METHODS
In 2004 and 2005, five MSDM in Chiapas (two), Puebla (one), Michoacán (one) and Oaxaca (one) were organized. Mycoses were within the first four skin pathologies detected.


RESULTS
Direct examination with potassium hydroxide led to the diagnosis of mycosis and other skin diseases such as scabies, pediculosis or hair disorders. The sample cultures showed, in addition to common fungi as dermatophytes (Trichophyton rubrum, 19 cases), other uncommon fungal agents such as Trichosporon spp, Chrysosporium spp, Cryptococcus, Geotrichum spp and Aspergillus spp. Most of the candidiasis cases were caused by Candida parapsilosis (nine cases) followed by C. albicans (three cases).
Méndez-Tovar
Luis J
LJ
Unidad de Investigación Médica en Dermatología y Micología "Dr. Ernesto Macotela", UMAE Hospital de Especialidades "Dr. Bernardo Sepúlveda", Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico D. F., México. ljmt@servidor.unam.mx
Anides-Fonseca
Adriana
A
Vázquez-Hernández
Aarón
A
Galindo-González
Martha
M
Díaz-Madrid
Mónica
M
Berdón-Castro
Antonio
A
Manzano-Gayosso
Patricia
P
Millán-Chiu
Blanca
B
Hernández-Hernández
Francisca
F
López-Martínez
Rubén
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care; D003881:Dermatomycoses / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data; D012424:Rural Population; D012959:Socioeconomic Factors