Department of Medical Microbiology, Kayseri Training and Research Hospital, Kayseri, Turkey.
J Eur Acad Dermatol Venereol. 2013 Jul;27(7):842-5. doi: 10.1111/j.1468-3083.2012.04589.x. Epub 2012 Jun 2.
In this study, we aimed to determine the prevalence of agents that cause superficial mycoses and clinical types of superficial mycoses in terms of age and gender in our region were aimed.
Five hundred samples of nails, skin and skin with hair taken from 476 children and adult patients pre-diagnosed with superficial mycoses were examined by direct microscopy and cultural methods between October 2009 and October 2010.
Fungal elements were determined in 212 (42.4%) of the samples by using direct microscopy. Fungal growth was detected in 111 (22.2%) cultures of the same samples. It was found that the most common agents in superficial mycoses were Trichophyton rubrum (43.7%), Candida spp. (28%) and less often, Aspergillus spp., Malassezia spp., Saccharomyces spp., Rhodotorula spp., Trichosporon spp. and Trichophyton verrucosum.
The significance of diagnosis by using direct microscopy and culturing together was again shown for the diagnosis of superficial fungal infections that follow a chronic course and affect the quality of life of patients. The most common agents in the superficial mycoses were T. rubrum. With this study, defining the aetiological agents of superficial mycoses in the Kayseri region is expected to contribute to the literature in terms of epidemiological data.
本研究旨在确定导致浅部真菌感染的病原体以及本地区浅部真菌感染的临床类型在年龄和性别方面的分布情况。
2009 年 10 月至 2010 年 10 月,我们对 476 例经临床诊断为浅部真菌感染的儿童和成人患者的 500 份指甲、皮肤和带毛发的皮肤样本进行了直接镜检和培养检查。
直接镜检发现 212 份样本(42.4%)中存在真菌成分,对同一批样本的 111 份培养物进行检测后发现有真菌生长。结果显示,浅部真菌感染最常见的病原体为红色毛癣菌(43.7%)、假丝酵母菌属(28%),较少见的病原体包括曲霉属、糠秕马拉色菌属、酿酒酵母属、红酵母属、须癣毛癣菌属和疣状毛癣菌。
本研究再次证明,直接镜检和培养联合诊断对于诊断慢性病程且影响患者生活质量的浅部真菌感染具有重要意义。本研究中,红色毛癣菌是浅部真菌感染最常见的病原体。本研究有望为凯瑟里地区浅部真菌感染的病因学提供流行病学数据方面的文献依据。