印度东北部一家医院浅表真菌病的临床真菌学概况
Clinico-mycological Profile of Superficial Mycosis in a Hospital in North-East India.
作者信息
Grover Sanjiv, Roy P
机构信息
Classified Specialist (Dermatology and Venerology), 5 Air Force Hospital, C/o 99 APO.
Graded Specialist (Pathology), Eastern Command Transfusion Centre, Calcutta - 700 027.
出版信息
Med J Armed Forces India. 2003 Apr;59(2):114-6. doi: 10.1016/S0377-1237(03)80053-9. Epub 2011 Jul 21.
A clinico-mycological study of superficial mycoses was conducted on 121 cases (98 males and 23 females). Direct microscopy by KOH mount and culture was undertaken to isolate the fungal pathogen in each case. The commonest age group involved was 21-30 years (39.6%). Dermatophytosis was the commonest clinical presentation (70.5%), followed by candidiasis (20.5%) and Pityriasis versicolor (9.0%). The commonest dermatophytosis was Tinea pedis (29.2%), followed by T cruris (26.2%). The commonest dermatophyte isolated was Trichophyton tonsurans (20.5%), followed by T rubrum (8.7%). Cultures grew a high proportion of non dermatophyte moulds (34%), of which Cladosporium spp (37.1%) was the commonest mould isolated. Total KOH positivity rate was 53.3% and total culture positivity rate was 79.1%. Our study revealed a variant local dermatophyte flora, a clinical pattern typical to our work environment in the Defence Services and a high isolation of yeasts and NDM.
对121例（98例男性和23例女性）浅表真菌病进行了临床真菌学研究。对每例患者进行KOH涂片直接显微镜检查和培养以分离真菌病原体。涉及的最常见年龄组为21 - 30岁（39.6%）。皮肤癣菌病是最常见的临床表现（70.5%），其次是念珠菌病（20.5%）和花斑癣（9.0%）。最常见的皮肤癣菌病是足癣（29.2%），其次是股癣（26.2%）。分离出的最常见皮肤癣菌是断发毛癣菌（20.5%），其次是红色毛癣菌（8.7%）。培养物中生长的非皮肤癣菌霉菌比例较高（34%），其中枝孢菌属（37.1%）是分离出的最常见霉菌。KOH总阳性率为53.3%，培养总阳性率为79.1%。我们的研究揭示了一种不同的局部皮肤癣菌菌群、一种在国防服务工作环境中典型的临床模式以及酵母菌和非皮肤癣菌霉菌的高分离率。
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