Department of Mycology, Chair of Microbiology, Jagiellonian University Medical College, Kraków, Poland.
Mycoses. 2010 Mar 1;53(2):148-52. doi: 10.1111/j.1439-0507.2008.01684.x. Epub 2009 Feb 26.
Considerable changes in the dermatophyte spectrum have been observed in the past century. Hence, many authors point out the necessity of performing periodical overviews of the mycological flora producing mycoses in humans in a given area. Analysis of dermatophyte species was performed, which were isolated from the lesions in patients suspected of superficial mycosis and referred to the Department of Mycology. The materials were isolated from patients suspected of superficial mycosis from Kraków region from January 1, 1972 through December 31, 2007. A total of 4983 dermatophyte strains were isolated from 23 124 specimens, which amounts to 21.5%. The percentage of dermatophytes isolated in the past decade decreased to 13.1% in the year 2007. Trichophyton rubrum outnumbered Trichophyton mentagrophytes during the entire survey period: 62.4 vs. 33.5%. The participation of Microsporum canis amounted to 1.71% and that of Epidermophyton floccosum to 1.32%. The species M. canis appeared by the end of the 1980s. The remaining dermatophyte species comprised 1% of the isolates. A considerable decrease in dermatophyte isolations has been observed since 2000. Trichophyton rubrum outnumbered T. mentagrophytes during the entire period of study. The percentages of T. rubrum and T. mentagrophytes are decreasing while the percentages of other dermatophytes are slowly increasing.
在过去的一个世纪中,皮肤真菌的谱发生了相当大的变化。因此,许多作者指出,有必要定期对特定地区人类致病真菌进行综述。我们对从疑似浅部真菌感染患者皮损中分离出的皮肤真菌进行了分析,这些患者被送到真菌科就诊。从 1972 年 1 月 1 日至 2007 年 12 月 31 日,从克拉科夫地区的疑似浅部真菌感染患者中分离出了 4983 株皮肤真菌,占 21.5%。在过去的十年中,分离出的皮肤真菌比例从 2007 年的 13.1%下降到 13.1%。在整个调查期间,红色毛癣菌的数量超过了须癣毛癣菌:62.4%比 33.5%。犬小孢子菌的参与率为 1.71%,絮状表皮癣菌的参与率为 1.32%。犬小孢子菌于 20 世纪 80 年代末出现。其余的皮肤真菌种类占分离株的 1%。自 2000 年以来,皮肤真菌的分离率显著下降。在整个研究期间,红色毛癣菌的数量超过了须癣毛癣菌。红色毛癣菌和须癣毛癣菌的比例正在下降,而其他皮肤真菌的比例正在缓慢上升。