Lateur N
Service de Dermatologie, C.H.U. Saint Pierre, U.L.B.
Rev Med Brux. 2000 Sep;21(4):A237-41.
Dermatophytoses are superficial skin infections due to dermatophytes which are filamentous fungi. Some dermatophytes can be hosted by domestic animals. In Belgium, Microsporum canis, Trichophyton (T.) mentagrophytes variety mentagrophytes, T. verrucosum and T. equinum are zoophilic species capable of infecting humans. Animals, clinical aspects in humans and the investigations needed will be reviewed. Treatment should target animal and patient but also limit the spread of the infection. Topical therapy is sufficient in cases restricted to the skin. When hair is involved, systemic treatment becomes mandatory. The withdrawal of griseofulvin from the Belgian market more than two years ago has made it necessary to introduce the mode of use of the newer antifungals such as fluconazole, Itraconazole and terbinafine.
皮肤癣菌病是由丝状真菌皮肤癣菌引起的浅表皮肤感染。一些皮肤癣菌可寄生于家畜。在比利时,犬小孢子菌、须癣毛癣菌须癣变种、疣状毛癣菌和马毛癣菌是能够感染人类的亲动物性物种。将对动物、人类的临床情况以及所需的调查进行综述。治疗应针对动物和患者,同时限制感染的传播。局限于皮肤的病例,局部治疗就足够了。当毛发受累时,全身治疗则成为必需。两年多前灰黄霉素从比利时市场撤出,使得有必要介绍新型抗真菌药如氟康唑、伊曲康唑和特比萘芬的使用方式。