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da Costa AD, Vargas AP, Lucena MM, et al. Voice disorders in residual paracoccidioidomycosis in upper airways and digestive tract. Rev Iberoam Micol. 2017;34(3):180-184doi: 10.1016/j.riam.2017.01.003.
da Costa, A. D., Vargas, A. P., Lucena, M. M., Ruas, A. C. N., Braga, F. D. S. S., Bom-Braga, M. P., Bom-Braga, F. P., do Valle, A. C. F., Igreja, R. P., & Valete-Rosalino, C. M. (2017). Voice disorders in residual paracoccidioidomycosis in upper airways and digestive tract. Revista iberoamericana de micologia, 34(3), 180-184. https://doi.org/10.1016/j.riam.2017.01.003
da Costa, Ananda Dutra, et al. "Voice disorders in residual paracoccidioidomycosis in upper airways and digestive tract." Revista iberoamericana de micologia vol. 34,3 (2017): 180-184. doi: https://doi.org/10.1016/j.riam.2017.01.003
da Costa AD, Vargas AP, Lucena MM, Ruas ACN, Braga FDSS, Bom-Braga MP, Bom-Braga FP, do Valle ACF, Igreja RP, Valete-Rosalino CM. Voice disorders in residual paracoccidioidomycosis in upper airways and digestive tract. Rev Iberoam Micol. 2017 Jul - Sep;34(3):180-184. doi: 10.1016/j.riam.2017.01.003. Epub 2017 Jun 03. PMID: 28583268.
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Rev Iberoam Micol. 2017 Jul - Sep;34(3):180-184. doi: 10.1016/j.riam.2017.01.003. Epub 2017 Jun 03.

Voice disorders in residual paracoccidioidomycosis in upper airways and digestive tract.

Revista iberoamericana de micologia

Ananda Dutra da Costa, Amanda Pereira Vargas, Marcia Mendonça Lucena, Ana Cristina Nunes Ruas, Fernanda da Silva Santos Braga, Mateus Pereira Bom-Braga, Frederico Pereira Bom-Braga, Antonio Carlos Francesconi do Valle, Ricardo Pereira Igreja, Cláudia Maria Valete-Rosalino

Affiliations

  1. National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, Rio de Janeiro, RJ, Brazil.
  2. Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
  3. National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, Rio de Janeiro, RJ, Brazil; Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
  4. National Institute of Infectious Diseases, Oswaldo Cruz Foundation, INI/FIOCRUZ, Rio de Janeiro, RJ, Brazil; Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Electronic address: [email protected].

PMID: 28583268 DOI: 10.1016/j.riam.2017.01.003

Abstract

BACKGROUND: Paracoccidioidomycosis (PCM) is a systemic mycosis of acute and chronic evolution, caused by species belonging to the genus Paracoccidioides. It is considered the most prevalent systemic endemic mycosis in Latin America, with cases in the tropical and subtropical regions. Residual PCM refers to the fibrotic scar sequelae resulting from the disease treatment which, when associated with collagen accumulation, leads to functional and anatomic alterations in the organs.

AIMS: The aim of this study was to evaluate the vocal function of patients with residual PCM in upper airways and digestive tract.

METHODS: We performed a cross-sectional study in 2010 in a cohort of 21 patients with residual PCM in upper airways and digestive tract.

RESULTS: The average age was 49.48±9.1 years, and only two (9.5%) patients were female. The study was performed in the 1-113 month-period (median 27) after the end of drug treatment. Five (23.8%) patients had alterations in the larynx as a sequela of the disease. However, all patients had vocal changes in vocal auditory perceptual analysis by GRBASI scale. The computerized acoustic analysis using the software Vox Metria, showed that 11 patients (52.4%) presented alterations in jitter, 15 (71.4%) in shimmer, 8 (38.1%) in F0, 4 (19%) in glottal to noise excitation (GNE), 7 (33.3%) in the presence of noise and 12 (57.1%) in the presence of vibratory irregularity.

CONCLUSIONS: The great frequency of alterations in residual PCM suggests that the patients in such phase could benefit from a multidisciplinary treatment, offering them integral monitoring of the disease, including speech rehabilitation after the PCM is healed.

Copyright © 2017 Asociación Española de Micología. Publicado por Elsevier España, S.L.U. All rights reserved.

Keywords: Calidad vocal; Disfonía; Dysphonia; Laringe; Larynx; Logopedia; Paracoccidioidomicosis; Paracoccidioidomycosis; Speech therapy; Vocal quality

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