El Fekih N, Belghith I, Trabelsi S, Skhiri-Aounallah H, Khaled S, Fazaa B
Department of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.
Actas Dermosifiliogr. 2012 Jul-Aug;103(6):520-4. doi: 10.1016/j.ad.2011.12.001. Epub 2012 Apr 4.
Tinea pedis and onychomycosis are among the commonest fungal diseases in the world. Recently, there has been an increase in the numbers of fungal agents implicated in these conditions.
To analyze the epidemiology of fungal foot diseases and to identify associated etiological factors in outpatients attending the Department of Dermatology of Charles Nicolle Hospital in Tunis, Tunisia.
One hundred and forty eight patients were assessed for the presence of fungal foot diseases during the period between January and April 2009. The mean age was 41.5 years (range: 2-87 years) and sex ratio was 0.8. A complete dermatological examination was performed on all subjects, and specimens of the feet were taken from patients presenting signs of tinea pedis or onychomycosis for microscopy and fungal culture.
Fungal foot infection was suspected in 71 subjects, and the diagnosis was confirmed in 67 cases (45.3%) by positive microscopy or culture. Older age and family history of mycosis were predisposing factors for foot fungal infection. The condition was caused by dermatophytes in 57.1% of cases and Candida species in 35.7%. Trichophyton rubrum and Candida parapsilosis were the predominant dermatophyte and yeast species, respectively.
足癣和甲癣是世界上最常见的真菌性疾病。最近，涉及这些病症的真菌病原体数量有所增加。
分析突尼斯突尼斯市查尔斯·尼科勒医院皮肤科门诊患者足部真菌病的流行病学情况，并确定相关病因。
2009年1月至4月期间，对148例患者进行了足部真菌病检查。平均年龄为41.5岁（范围：2 - 87岁），性别比为0.8。对所有受试者进行了全面的皮肤科检查，并从出现足癣或甲癣体征的患者足部采集标本进行显微镜检查和真菌培养。
71例患者疑似足部真菌感染，67例（45.3%）通过显微镜检查或培养阳性确诊。年龄较大和有真菌病家族史是足部真菌感染的易感因素。57.1%的病例由皮肤癣菌引起，35.7%由念珠菌属引起。红色毛癣菌和近平滑念珠菌分别是主要的皮肤癣菌和酵母菌种类。
