Aridoğan I Atilla, Ateş Aylin, Izol Volkan, Ilkit Macit
Department of Urology, Faculty of Medicine, University of Cukurova, Adana, Turkey.
Urol Int. 2005;74(4):346-8. doi: 10.1159/000084436.
Tinea cruris is almost exclusively a male dermatophytosis. This infection is also sexually transmitted, and may cause epidemics in public areas such as common bathing facilities, dormitories and among military recruits. It has been aimed to investigate the prevalence and the causative agents of tinea cruris and tinea pedis in patients who were admitted to the Department of Urology with various pathologies.
Direct microscopy and cultures of the epithelial scrapings were performed to identify the causative agent in patients who were admitted to the Department of Urology.
Out of a total of 155 cases examined, 39 (25.1%) were mycologically proven cases of dermatomycosis. In 11 (28.2%) of the patients tinea pedis, in 3 (7.7%) tinea cruris and in 10 (25.6%) Candida intertrigo were detected. In the remaining 15 (38.5%) cases, only direct microscopic examinations were found positive. The most common causative agent was Candida albicans (33.4%) followed by Trichophyton rubrum (29.1%), Trichophyton mentagrophytes var. interdigitale (29.1%), Candida glabrata (4.2%) and Candida tropicalis (4.2%).
The investigation of genital dermatomycosis should be a part of routine urological examination and the clinical diagnosis should be confirmed by mycological methods.
股癣几乎仅见于男性皮肤癣菌病。这种感染也可通过性传播,且可能在公共区域引发流行,如公共洗浴设施、宿舍及新兵中。本研究旨在调查因各种病症入住泌尿外科的患者中股癣和足癣的患病率及致病原。
对入住泌尿外科的患者进行上皮刮屑的直接显微镜检查和培养,以鉴定致病原。
在总共155例受检病例中,39例(25.1%)经真菌学证实为皮肤癣菌病。在11例(28.2%)患者中检测到足癣,3例(7.7%)为股癣,10例(25.6%)为念珠菌性擦烂。在其余15例(38.5%)病例中,仅直接显微镜检查呈阳性。最常见的致病原为白色念珠菌(33.4%),其次为红色毛癣菌(29.1%)、指间毛癣菌(29.1%)、光滑念珠菌(4.2%)和热带念珠菌(4.2%)。
生殖器皮肤癣菌病的调查应成为泌尿外科常规检查的一部分,临床诊断应通过真菌学方法予以证实。