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2015-2016 年越南广义省皮肤科中心患者的皮肤癣菌种属分布。

Distribution of Species of Dermatophyte Among Patients at a Dermatology Centre of Nghean Province, Vietnam, 2015-2016.

机构信息

Department of Parasitology, Vietnam Military Medical University, 160 Phunghung, Hadong, Hanoi, Vietnam.

Nghean Provincial Leprosy and Dermatology Centre, 142 Lehongphong, Truongthi street, Vinh City, Nghean Province, Vietnam.

出版信息

Mycopathologia. 2017 Dec;182(11-12):1061-1067. doi: 10.1007/s11046-017-0193-x. Epub 2017 Aug 22.

Abstract

INTRODUCTION

Vietnam is a tropical country so fungal diseases including dermatophytosis may be prevalent, but epidemiological profiles of agents responsible for the infection have rarely been reported.

OBJECTIVE

To find out the distribution of dermatophytes among patients living in a central province of Vietnam.

METHODS

We examined dermatophyte infections in patients with lesions suspected of dermatophytosis referred to the Nghean provincial leprosy and dermatology centre from August 2015 to August 2016. The speciation of dermatophyte was performed by conventional and molecular approaches.

RESULTS

One hundred and thirty-six patients (90 males and 46 females) were included. Those aged from 11 to 30 contribute 59.1%. The most common agent found was Trichophyton rubrum (66.9%), followed by T. interdigitale (12.5%), T. tonsurans (9.6%), Microsporum incurvatum (8.1%), and the less frequent species were M. canis (2.2%) and T. violaceum (0.7%). Epidermophyton floccosum was not reported. T. rubrum were more common in men (74.4%) than in women (52.2%), while T. interdigitale and M. incurvatum were more common in women (21.7 and 15.2%) than in men (7.8 and 4.4%). Patients infected with Microsporum spp. had small-sized lesions for only 3 months, while those affected by Trichophyton spp. had large-sized lesions with longer duration.

CONCLUSION

Trichophyton species are the predominant agents of infection in Nghean province, while Epidermophyton species is absent. Additional investigations are required to clarify the epidemiological profile of dermatophytes in Vietnam.

摘要

引言

越南是一个热带国家,因此可能存在包括皮肤癣菌病在内的真菌病,但有关引起感染的病原体的流行病学特征鲜有报道。

目的

了解越南中部一省患者的皮肤癣菌分布情况。

方法

我们检查了 2015 年 8 月至 2016 年 8 月期间因疑似皮肤癣菌病就诊于义安省麻风病和皮肤病中心的患者的皮肤癣菌感染情况。通过传统和分子方法对皮肤癣菌进行了分类。

结果

共纳入 136 例患者(90 例男性,46 例女性),年龄 11 至 30 岁者占 59.1%。最常见的病原体是红色毛癣菌(66.9%),其次是须癣毛癣菌(12.5%)、断发毛癣菌(9.6%)、疣状毛癣菌(8.1%),较少见的病原体是犬小孢子菌(2.2%)和紫色毛癣菌(0.7%)。未报告絮状表皮癣菌。红色毛癣菌在男性中更为常见(74.4%),而在女性中则较少见(52.2%),而须癣毛癣菌和疣状毛癣菌在女性中更为常见(21.7%和 15.2%),而在男性中则较少见(7.8%和 4.4%)。感染小孢子菌的患者的皮损仅持续 3 个月,而感染须癣毛癣菌的患者的皮损较大且持续时间较长。

结论

在义安省,红色毛癣菌是主要的病原体,而絮状表皮癣菌不存在。需要进一步调查以阐明越南皮肤癣菌的流行病学特征。

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