title: Fungal agents in different anatomical sites in Public Health Services in Cuiabá, state of Mato Grosso, Brazil.
abstract: BACKGROUND
  A contribution to the regional epidemiological profile of the most common fungal agents in Public Health Services in Cuiabá, state of Mato Grosso, including university hospitals and polyclinics.
  
  
  METHODS
  Clinical specimens (n = 1,496) from 1,078 patients were collected, submitted to direct mycological exam (potash or stick tape method) and cultured in specific mediums. Dermatophytic and non-dermatophytic agents were identified according to micromorphology (Ridell technique).
  
  
  RESULTS
  The majority of the 1,496 specimens were skin (n = 985) and nail exams (n = 472). Of the 800 positive cultures, 246 (30.8%) corresponded to dermatophytes and 336 (42%) to yeasts of the genus Candida, 190 (23.7%) to other yeasts, 27 (3.4%) to non-dermatophytic filamentous fungi and one (0.1%) the agent of subcutaneous mycosis. Lesions considered primary occurred in greater numbers (59.5%) than recurrent lesions (37.4%), with a greater concentration of positivity occurring on the arms and legs.
  
  
  CONCLUSIONS
  Comorbidities, allergies and diabetes mellitus were conditions associated with greater positivity in direct mycological exams and cultures. Positive culture was considered a definitive diagnosis of fungal infection and confirmed 47.8% of diagnostic hypotheses.
authors.affiliation: Laboratory of Investigation, Faculty of Medical Sciences, Federal University of Mato Grosso, Cuiabá, Mato Grosso, Brazil. sebbaaraujo@ig.com.br
authors.forename: Sebastião Martins de
authors.initials: SM
authors.lastname: Araújo
authors.forename: Cor Jésus Fernandes
authors.initials: CJ
authors.lastname: Fontes
authors.forename: Diniz Pereira
authors.initials: DP
authors.lastname: Leite Júnior
authors.forename: Rosane Christine
authors.initials: RC
authors.lastname: Hahn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003881:Dermatomycoses / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology*; D005260:Female; D005658:Fungi / Q000302:isolation & purification*; D006197:Hair / Q000382:microbiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009262:Nails / Q000382:microbiology; D012008:Recurrence; D012307:Risk Factors; D012867:Skin / Q000382:microbiology; D055815:Young Adult