Department of Dermatovenereology, University Medical Centre Ljubljana, Zaloška 2, 1000, Ljubljana, Slovenia.
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Mycopathologia. 2017 Dec;182(11-12):1069-1075. doi: 10.1007/s11046-017-0194-9. Epub 2017 Aug 24.
Microsporum gypseum complex is a group of geophillic dermatophytes with a worldwide distribution and is a rare cause of dermatomycoses in humans. The infection most commonly presents as tinea corporis, with some geographical and occupational variations. We studied M. gypseum complex infections in patients examined in the Mycological Laboratory of the Department of Dermatovenereology, University Medical Centre Ljubljana, during the period 2000-2015. Diagnosis was confirmed by mycological examination. Skin scales were examined by direct microscopy and cultivated on Sabouraud glucose agar. A total of 226 patients were identified, representing 1.5% of all dermatophyte infections during the study period. Tinea corporis was diagnosed in majority of patients, followed by tinea manus, tinea faciei, tinea inguinalis and tinea pedis. Tinea capitis was observed in three and onychomycosis in two patients only. Infection was disseminated on different parts of the body in nine patients. In 39% of patients, infection was diagnosed in children younger than 9 years. Face and scalp infection was more often observed in children. The incidence was the highest during July and October. Contacts with soil and domestic animals were often reported. Data on the prevalence and clinical characteristics of M. gypseum complex infection in other countries are reviewed.
石膏样小孢子菌复合体是一组具有嗜土性的皮肤真菌，分布广泛，是人类皮肤真菌病的罕见病因。感染最常表现为体癣，存在一些地理和职业差异。我们研究了 2000 年至 2015 年期间在卢布尔雅那大学医学中心皮肤科真菌学实验室检查的患者中石膏样小孢子菌复合体感染。通过真菌学检查确认诊断。通过直接显微镜检查和在萨布罗葡萄糖琼脂上培养来检查皮肤鳞屑。共鉴定出 226 例患者，占研究期间所有皮肤癣菌感染的 1.5%。大多数患者被诊断为体癣，其次是手癣、面癣、股癣和足癣。仅 3 例患者被诊断为头癣，2 例患者被诊断为甲癣。9 例患者的感染播散到身体的不同部位。39%的感染患者为 9 岁以下儿童。面部和头皮感染更常见于儿童。发病率在 7 月和 10 月最高。常报告与土壤和家养动物接触。回顾了其他国家石膏样小孢子菌复合体感染的流行情况和临床特征数据。
