A hospital based cross-sectional clinical and mycological study of dermatophytoses in a tertiary care centre.
DOI:
https://doi.org/10.66344/jpad.v27i4.974Keywords:
Dermatophytes, culture, tinea, Trichophyton rubrumAbstract
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
1. Peres NTA, Maranhão FCA, Rossi A, Martinez-Rossi. Dermatophytes: host-pathogen interaction and antifungal resistance. An Bras Dermatol. 2010;85:657-67.
2. Vander Straten MR, Hossain MA, Ghannoum MA. Cutaneous infections: dermatophytosis, onychomycosis, and tinea versicolor. Infect Dis Clin North Am. 2003;17:87-112.
3. Barisic Drusko V, Rucevic I, Bilijan D, Jukić Z. Epidemiology of dermatomycosis in the eastern Croatia today and yesterday. Coll Antropol. 2003;27:11-7.
4. Kanwar AJ, Mamta, Chander J. Superficial fungal infections. In: Valia RG, Valia AR, editors. IADVL Textbook and Atlas of dermatology. 2nd edn. Mumbai: Bhalani Publishing House; 2001. P: 215-58.
5. Peerapur BV, Inamadar AC, Pushpa PV, Srikant B. Clinicomycological study of dermatophytosis in Bijapur. Indian J Med Microbiol. 2004;22:126-7.
6. 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.
7. Lakshmanan A, Ganeshkumar P, Mohan SR, Hemamalini M, Madhavan R. Epidemiological and clinical pattern of dermatomycoses in rural India. Indian J Med Microbiol. 2015;33:S134-6.
8. Bassiri-Jahromi S. Epidemiological trends in zoophilic and geophilic fungi in Iran. Clin Exp Dermatol. 2012;38:13-9.
9. Karmakar S, Kalla G, Joshi KR, Karmakar S. Dermatophytoses in a desert district of Western Rajasthan. Indian J Dermatol Venereol Leprol. 1995;61:280-3.
10. Rassai S, Feily A, Sina N, Derakhshanmehr F. Some epidemiological aspects of dermatophyte infections in southwest Iran. Acta Dermatovenerol Croat. 2011;19:13-5.
11. Sarma S, Borthakur AK. A clinico-epidemiological study of dermatophytosis in north-east India. Indian J Dermatol Venereol. 2007;73:427-8.
12. Goldstein AO, Smith KM, Ives TJ, Goldstein B. Mycotic infection. Effective management of condition involving skin, hair and nails. Geriatrics. 2000;55:40-2, 45-7, 51-2.
13. Bindu V, Pavithran K. Clinico-mycological study of dermatophytosis in Calicut. Indian J Dermatol Venereol Leprol. 2002;68:259-61.
14. Singh S, Beena PM. Profile of dermatophyte infections in Baroda. Indian J Dermatol Venereol Leprol. 2003;69:281-3.
15. Kaur S. Incidence of dermatophytosis in Chandigarh and surrounding areas. Indian J Dermatol Venereol. 1970;36:143-5.
16. Vasu DRBH. Incidence of dermatophytosis in Warangal, Andhra Pradesh. India. Indian J Med Res. 1966;54:468-74.
17. Malik AK, Chugh TD, Prakash K. Dermatophytosis in North India. Indian J Pathol Microbiol. 1978;21:53-9.
18. 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.
19. Garg AP, Muller J. Inhibition of growth of dermatophytes by Indian hair oils. Mycoses. 1992;35:363-9.
20. 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.
21. Gupta RN, Shome SK. Dermatomycoses in Uttar Pradesh - an analysis of 620 cases. Indian J Med Assoc. 1959;33:39-43.
22. Bhaskaran CS, Rao PS, Krishnamoorthy T, Tarachand P. Dermatophytoses in Tirupati (Andhra Pradesh). Indian J Pathol Microbiol. 1977;20:251-5.
23. Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses. 2008;51:2-15.
24. Costa-Orlandi CB, Magalhães GM, Oliveira MB, Taylor EL, Marques CR, de Resende-Stoianoff MA. Prevalence of dermatomycosis in a Brazilian Tertiary Care Hospital. Mycopathologia. 2012;174:489-97.
25. Aghamirian MR, Ghiasian SA. Dermtophytoses in outpatients attending the dermatology, Centre of Avicenna Hospital in Qazvin, Iran. Mycoses. 2008;51:155-60.
26. Woldeamanuel Y, Mengitsu Y, Chryssanthou E, Petrini B. Dermatophytosis in Tulugudu Island, Ethiopia. Med Mycol. 2005;43:79-82.
27. Agrawalla A, Jacob M, Sethi M, Parija SC, Singh NP. A clinico-mycological study of dermatophytosis in Nepal. J Dermatol. 2001;28:16-21.
28. Jain N, Sharma M, Saxena VN. Clinicomycological profile of dermatophytosis in Jaipur, Rajasthan. Indian J Dermatol Venereol. 2008;74:274-5.
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