Watanabe K, Taniguchi H, Nishioka K, Katoh T, Ara K, Kayane S
Department of Dermatology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519.
Nihon Ishinkin Gakkai Zasshi. 2001;42(4):253-8. doi: 10.3314/jjmm.42.253.
The infection rate, causative dermatophytes, and dermatophyte dissemination of tinea pedis in young healthy Japanese were studied by direct microscopic examination, slant cultures, and foot-press culture method. Questionnaires on subjective symptoms and treatments were also distributed. Among fifty-eight medical students with a mean age of 23.9 years, thirteen (22.4%) showed positive by direct microscopic examination and T. mentagrophytes was more dominant than T. rubrum by slant cultures. In one hundred and sixteen student feet, twelve were infected and disseminating dermatophytes, four were infected but not disseminating, three were not infected but adhering dermatophytes. The infection rate of tinea pedis was thus 24.1%. Among thirty-seven research workers (mean age: 34.8), twenty-one (56.8%) showed positive by direct microscopic examination. All the dermatophytes isolated by slant cultures were T. mentagrophytes. In seventy-four feet, twenty-nine were infected and disseminating, ten were infected but not disseminating, and three were adhering dermatophytes. The infection rate was 64.9%. Among thirty-one females wearing boots (mean age: 21.0), seven (22.6%) were infected and T. mentagrophytes was more dominant. In sixty-two feet, eight were infected and disseminating, one was infected but not disseminating, and five were adhering dermatophytes. The infection rate of tinea pedis was quite high and T.r/T.m rate was low in the three groups. Most of the patients had had no treatment and were disseminating dermatophytes.
通过直接显微镜检查、斜面培养和足压培养法,对年轻健康日本人足癣的感染率、致病皮肤癣菌及皮肤癣菌传播情况进行了研究。还发放了关于主观症状和治疗的问卷。在58名平均年龄为23.9岁的医学生中,13人(22.4%)直接显微镜检查呈阳性,斜面培养显示须癣毛癣菌比红色毛癣菌更占优势。在116只学生足部中,12只感染并传播皮肤癣菌,4只感染但未传播,3只未感染但有附着皮肤癣菌。足癣感染率因此为24.1%。在37名研究人员(平均年龄:34.8岁)中,21人(56.8%)直接显微镜检查呈阳性。斜面培养分离出的所有皮肤癣菌均为须癣毛癣菌。74只足部中,29只感染并传播,10只感染但未传播,3只有附着皮肤癣菌。感染率为64.9%。在31名穿靴子的女性(平均年龄:21.0岁)中,7人(22.6%)被感染,须癣毛癣菌更占优势。62只足部中,8只感染并传播,1只感染但未传播,5只有附着皮肤癣菌。三组中足癣感染率相当高,红色毛癣菌/须癣毛癣菌比率较低。大多数患者未接受治疗且皮肤癣菌在传播。