First isolation of Cryptococcus gattii molecular type VGII and Cryptococcus neoformans molecular type VNI from environmental sources in the city of Belém, Pará, Brazil

Cryptococcus neoformans and Cryptococcus gattii are important agents of meningoencephalitis in humans in the city of Belém. This clinical data suggests that the region may be a highly endemic area for the pathogenic Cryptococcus species within the state of Pará (PA), Northern Brazil. Preliminary analysis of 11 environmental samples from the city of Belém showed two positive locations, including a hollow of a kassod tree (Senna siamea) colonized simultaneously by C. gattii molecular type VGII and C. neoformans molecular type VNI, and a birdcage in a commercial aviary positive for C. neoformans, molecular type VNI. This is the first evidence of an environmental occurrence of molecular types VNI and VGII in PA.

Biodiversity of decapod crustaceans in the estuarine floodplain around the city of Belém (Pará) in Brazilian Amazonia

ABSTRACT: The present study focused on the decapod fauna of the fluvial-estuarine environment of the Guajará Bay, in the Brazilian state of Pará, where specimens were collected monthly from six sites, from May 2006 to April 2007. A total of 6,793 specimens were captured, belonging to 11 species of crab and shrimp: eight palaemonids - Macrobrachium amazonicum (Heller, 1862), Macrobrachium surinamicum Holthuis, 1948, Macrobrachium carcinus (Linnaeus, 1758), Macrobrachium rosenbergii (De Man, 1879), Macrobrachium spp. 1-4 -, one portunid - Callinectes bocourti A. Milne-Edwards, 1879 -, and two trichodactylids - Sylviocarcinus devileii H. Milne-Edwards, 1853 and Sylviocarcinus pictus (Milne-Edwards, 1853). While no significant differences were found in the ecological indices of diversity with respect to season, site, or trap size, a tendency for increased abundance and species richness was found during the dry season (August-November), in particular at some sites, apparently reflecting the influence of the estuary's saline wedge.

High rates of undiagnosed leprosy and subclinical infection amongst school children in the Amazon Region

Leprosy in children is correlated with community-level factors, including the recent presence of disease and active foci of transmission in the community. We performed clinical and serological examinations of 1,592 randomly selected school children (SC) in a cross-sectional study of eight hyperendemic municipalities in the Brazilian Amazon Region. Sixty-three (4%) SC, with a mean age of 13.3 years (standard deviation = 2.6), were diagnosed with leprosy and 777 (48.8%) were seropositive for anti-phenolic glycolipid-I (PGL-I). Additionally, we evaluated 256 house-hold contacts (HHCs) of the students diagnosed with leprosy; 24 (9.4%) HHC were also diagnosed with leprosy and 107 (41.8%) were seropositive. The seroprevalence of anti-PGL-I was significantly higher amongst girls, students from urban areas and students from public schools (p < 0.0001). Forty-five (71.4%) new cases detected amongst SC were classified as paucibacillary and 59 (93.6%) patients did not demonstrate any degree of physical disability at diagnosis. The results of this study suggest that there is a high rate of undiagnosed leprosy and subclinical infection amongst children in the Amazon Region. The advantages of school surveys in hyperendemic areas include identifying leprosy patients at an early stage when they show no physical disabilities, preventing the spread of the infection in the community and breaking the chain of transmission.