A hospital based cross-sectional clinical and mycological study of dermatophytoses in a tertiary care centre.

Authors

  • Vishalakshi S Pandit Assistant Professor, Department of Dermatology, Venereology and Leprosy Koppal Institute of Medical Sciences, Koppal, Karnataka http://orcid.org/0000-0003-3077-9556
  • Hita Mehta Professor and HOD Department of Dermatology, Venereology and Leprosy Government Medical College, Bhavnagar University, Bhavnagar, Gujarat

Keywords:

Dermatophytes, culture, tinea, Trichophyton rubrum

Abstract

Objective To determine the clinicomycological pattern of dermatophytosis in patients attending tertiary care dermatology centre. Methods All patients attending Dermatology OPD, Sir. T. General Hospital, Bhavnagar, clinically diagnosed of dermatophytosis, were subjected to direct microscopy in KOH solution and culture on Sabouraud’s dextrose agar medium. Fungal species were identified on the basis of cultural characteristics, pigment production and microscopic examination in lactophenol cotton blue preparation. Results Out of the 530 cases, majority of patients were in the age group of 30-40 years and male to female ratio of 1.2:1. Majority of the patients were housewives, followed by laborers. 70.9% patients were diagnosed of having tinea corporis, followed by tinea cruris (17.7%) and 52.3% of patients showed positivity in KOH smear and culture was positive in 32.1% cases.  Most commonly isolated species was Trichophyton rubrum, followed by T. mentagrophytes and least was T. tonsurans (0.2%). Conclusion Tinea corporis was the commonest clinical type of all dermatophytoses. Trichophyton rubrum was the most common isolate, thus concluding that it is the most common cause of superficial dermatophytic infection. 

References

Peres NTA, Maranhão FCA, Rossi A et al. An Bras Dermatol 2010; 85(5):657-67.

Vander Straten MR, Hossain MA, Ghannoum MA. Cutaneous infections: dermatophytosis, onychomycosis, and tinea versicolor. Infect Dis Clin North Am 2003; 17: 87-112.

Barisic Drusko V, Rucevic I, Bilijan D et al. Epidemiology of dermatomychosis in the eastern Croatia today and yesterday. Coll Antropol 2003; 27: 11-7.

Kanwar AJ, Mamta, Chander J. Superficial fungal infections. In: Valia RG, Valia AR, editors. IADVL textbook and atlas of dermatology. 2nd ed. Mumbai: Bhalani Publishing House; 2001. P: 215-58.

Peerapur BV, Inamadar AC, Pushpa PV et al. Clinicomycological study of dermatophytosis in Bijapur. Indian J Med Microbiol 2004; 22(2):126-7.

Teklebirhan G, Bitew A. Prevalence of dermatophytic infection and the spectrum of dermatophytes in patients attending a tertiary hospital in Addis Ababa, Ethiopia. Int J Microbiol 2015; 653419.

Lakshmanan A, Ganeshkumar P, Mohan SR et al. Epidemiological and clinical pattern of dermatomycoses in rural India. Indian J Med Microbiol 2015; 33:S134-6.

Bassiri-Jahromi S. Epidemiological trends in zoophilic and geophilic fungi in Iran. Clin Exp Dermatol 2012; 38: 13-19.

Karmakar S, Kalla G, Joshi KR et al. Dermatophytoses in a desert district of Western Rajasthan. Indian J Dermatol Venereol Leprol 1995; 61:280-3.

Rassai S, Feily A, Sina N et al. Some epidemiological aspects of dermatophyte infections in southwest Iran. Acta Dermatovenerol Croat 2011; 19(1):13-5.

Sarma S, Borthakur AK. A clinico-epidemiological study of dermatophytosis in north-east India. Indian J Dermatol Venerol 2007; 73:427-428.

Goldstein AO, Smith KM, Ives TJ et al. Mycotic infection. Effective management of condition involving skin, hair and nails. Geriatrics 2000; 55:40-2, 45-7, 51-2.

Bindu V, Pavithran K. Clinico-mycological study of dermatophytosis in Calicut. Indian J Dermatol Venereol Leprol 2002; 68: 5, 259-261.

Singh S, Beena PM. Profile of dermatophyte infections in Baroda. Indian J Dermatol Venereol Leprol 2003; 69:281-3.

Kaur S. Incidence of dermatophytosis in Chandigarh and surrounding areas. Indian J Dermatol Venereol 1970; 36:143-5.

Vasu DRBH. Incidence of dermatophytosis in Warangal, Andhra Pradesh. India. Indian J Med Res 1966; 54:468-74.

Malik AK, Chugh TD, Prakash K. Dermatophytosis in North India. Indian J Pathol Microbiol 1978; 21:53-9.

Hajini GH, Kandhari KC, Mohapatra LN. Effect of hair oils and fatty acids on the growth of dermatophytes and their in vitro penetration of human scalp hair. Sabouradia 1970; 8:174.

Garg AP, Muller J. Inhibition of growth of dermatophytes by Indian hair oils. Mycoses 1992; 35:363-9.

Bassiri-Jahromi S, Khaksari AA. Epidemiological survey of dermatophytosis in Tehran, Iran, from 2000 to 2005. Indian J Dermatol Venereol Leprol 2009; 75:142-7.

Gupta RN, Shome SK. Dermatomycoses in Uttar Pradesh - an analysis of 620 cases. Indian J Med Assoc 1959; 33:39-43.

Bhaskaran CS, Rao PS, Krishnamoorthy T et al. Dermatophytoses in Tirupati (Andhra Pradesh). Indian J Pathol Microbiol 1977; 20:251-5.

Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses 2008; 51: 2-15.

Costa-Orlandi CB, Magalhães GM, Oliveira MB et al. Prevalence of Dermatomycosis in a Brazilian Tertiary Care Hospital. Mycopathologia 2012; 174: 489-497.

Aghamirian MR, Ghiasian SA. Deramtophytoses in outpatients attending the dermatology, Centre of Avicenna Hospital in Qazvin, Iran - Mycoses Mar 2008; 51(2): 155-60.

Woldeamanuel Y, Mengitsu Y, Chryssanthou E, Petrini B. "Dermatophytosis in Tulugudu Island, Ethiopia. Med Mycol 2005; 43(1):79-82.

Agrawalla A, Jacob M, Sethi M et al. A clinico-mycological study of dermatophytosis in Nepal J Dermatol 2001; 28: 16-21.

Jain N, Sharma M, Saxena VN. Clinico mycological profile of dermatophytosis in Jaipur, Rajasthan. Indian J Dermatol Venerol 2008; 74(3): 274-275.

Downloads

Published

2018-05-27

Issue

Vol. 27 No. 4 (2017): October - December

Section

Original Articles