Department of Microbiology, Islamic Azad University, Arak Branch, Arak, Iran.
Medical Parasitology and Mycology Department, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran; Psoriasis Research Center, Department of Dermatology, Farshchian Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
J Mycol Med. 2018 Mar;28(1):101-105. doi: 10.1016/j.mycmed.2017.11.009. Epub 2018 Feb 11.
Dermatophytosis is one of the most common mycotic infections, which considered as a public health problem in the major of countries. This study evaluated the molecular epidemiology of dermatophytosis in patients referred to Farshchian hospital in Hamadan city with PCR-RFLP method.
Four hundred and five specimens from clinically suspected patients of dermatophytosis were collected and analyzed by direct microscopic and culture. The isolates were identified by PCR-RFLP method using the MvaI restriction enzyme.
Of the 405 specimens, 88 specimens were positive in direct examination and culture. Among the patients, 64.8% were males and35.2% females. Tinea pedis (31.8%) was the most common type of dermatophytosis followed by tinea corporis (22.7%), tinea cruris (20.5%), tinea capitis (10.2%), tinea manuum (5.7%), tinea faciei (4.6%) and tinea unguium (4.6%). Trichophyton interdigitale (36.4%) was the most common isolate followed by Trichophyton rubrum (27.3%), Epidermophyton floccosum (17%), Trichophyton tonsurans (11.4%), Microsporum canis (4.5%), Microsporum gypseum (2.3%) and Trichophyton benhamiae (1.1%).
Our finding showed that the anthropophilic dermatophyte species causing dermatophytosis are increasing, and molecular methods are reliable assays for accurse identification of dermatophyte species in epidemiological studies.
皮肤癣菌病是最常见的真菌感染之一,在大多数国家被视为公共卫生问题。本研究采用 PCR-RFLP 方法评估了法什钱医院就诊的皮肤癣菌病患者的分子流行病学。
从 405 例临床疑似皮肤癣菌病患者的标本中采集并直接进行显微镜检查和培养分析。采用 MvaI 限制酶的 PCR-RFLP 方法鉴定分离株。
在 405 个标本中,88 个标本在直接检查和培养中呈阳性。在这些患者中,男性占 64.8%,女性占 35.2%。足癣(31.8%)是最常见的皮肤癣菌病类型,其次是体癣(22.7%)、股癣(20.5%)、头癣(10.2%)、手癣(5.7%)、面癣(4.6%)和甲癣(4.6%)。亲人性皮肤癣菌(36.4%)是最常见的分离株,其次是红色毛癣菌(27.3%)、絮状表皮癣菌(17%)、须癣毛癣菌(11.4%)、犬小孢子菌(4.5%)、石膏样小孢子菌(2.3%)和断发毛癣菌(1.1%)。
我们的发现表明,引起皮肤癣菌病的亲人性皮肤癣菌物种正在增加,分子方法是在流行病学研究中准确鉴定皮肤癣菌物种的可靠方法。