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“皮肤癣菌病的体表寄生虫病”:尼泊尔中部皮肤癣菌感染的临床真菌学研究

"Epizoonosis of dermatophytosis": a clinico- mycological study of dermatophytic infections in central Nepal.

作者信息

Mathur M, Kedia S K, Ghimire R Bk

机构信息

Department of Dermatology, College of Medical Sciences, Bharatpur, Chitwan, Nepal.

出版信息

Kathmandu Univ Med J (KUMJ). 2012 Jan-Mar;10(37):30-3. doi: 10.3126/kumj.v10i1.6910.

Abstract

BACKGROUND

Identification of dermatophytic species in clinical settings are important not only for epidemiological but also for the treatment.

OBJECTIVES

Present study was carried out to find out the clinical variants of Dermatophytosis and species of fungus responsible for the disease.

METHODS

The prospective observational analysis of 200 clinically suspected cases of dermatophytic infection attending Dermatology department of College of Medical Sciences Teaching Hospital, Bharatpur, Chitwan, Nepal. Skin scraping, hair and nail samples were collected and processed according to standard protocol.

RESULTS

Maximum number of patients enrolled in study were reported for treatment 5-8 weeks after the onset of disease. Overall male predominance was observed and ages between 26-30 years. Tinea corporis was the most common clinical type of tinea with female dominance in our study. 10 % of cases were having extensive Tinea. 71.5% of samples were positive on direct microscopy and 62 % positive on culture. Samples from T capitis were highest positive by direct microscopy (80%) and over all dominant species of fungus isolated in our study was Trichophyton verrucosum (30.6%).

CONCLUSIONS

The study highlighted Tinea corporis as the most common clinical type with female predominance. Overall predominant causative fungal species isolated was Trichophyton verrucosum.

摘要

背景

在临床环境中鉴定皮肤癣菌种类不仅对流行病学很重要,对治疗也很重要。

目的

开展本研究以找出皮肤癣菌病的临床变体以及导致该疾病的真菌种类。

方法

对尼泊尔奇旺巴拉特普尔医学科学学院教学医院皮肤科就诊的200例临床疑似皮肤癣菌感染病例进行前瞻性观察分析。按照标准方案收集皮肤刮屑、毛发和指甲样本并进行处理。

结果

研究中登记的患者在疾病发作后5 - 8周接受治疗的人数最多。总体上男性占主导,年龄在26 - 30岁之间。在我们的研究中,体癣是最常见的癣临床类型,女性占主导。10%的病例患有广泛性体癣。71.5%的样本直接镜检呈阳性,62%培养呈阳性。头癣样本直接镜检阳性率最高(80%),在我们的研究中分离出的总体优势真菌种类是疣状毛癣菌(30.6%)。

结论

该研究强调体癣是最常见的临床类型,女性居多。分离出的总体主要致病真菌种类是疣状毛癣菌。

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