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新出现的性传播感染疫情:意大利米兰男男性行为者中的皮肤癣菌病。

Emerging sexually transmitted infections outbreak: Dermatophytosis among men who have sex with men in Milan, Italy.

作者信息

Maci Chiara, Raccagni Angelo Roberto, Lolatto Riccardo, Messina Emanuela, Canetti Diana, Tassan Din Chiara, Garcia Martearena Maria Del Carmen, Torkjazi Golnaz, Bottanelli Martina, Candela Caterina, Castagna Antonella, Nozza Silvia

机构信息

Vita-Salute San Raffaele University, Milan, Italy.

Infectious Diseases Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.

出版信息

Int J STD AIDS. 2025 Mar;36(4):319-323. doi: 10.1177/09564624241312731. Epub 2025 Jan 9.

DOI:10.1177/09564624241312731
PMID:39784707
Abstract

BACKGROUND

Dermatophytosis is an infection of the skin or adnexa, which is extremely widespread in the environment. Sexually transmitted infections (STIs) are an increasing global public health threat, especially among men who have sex with men (MSM). This study aims to describe an outbreak of sexually transmitted dermatophytosis among MSM in our cohort between April 2022 and October 2023.

METHODS

This is a retrospective monocentric study including outpatients who were diagnosed with at least one episode of dermatophytosis between March 2010 and October 2023 at the Infectious Diseases Unit of San Raffaele Scientific Institute, Milan, Italy. Mycosis diagnosis was mainly clinical following the medical visit and physical examination.

RESULTS

Overall, 107 people were diagnosed with dermatophytosis between March 2010 and October 2023. All 56 cases observed since April 2022 included 55 MSM and 1 female; compared to before 2022 there was a total diagnosis of 51 cases.

CONCLUSIONS

These results highlight the evident increase in the incidence of mycotic infections among MSM, followed in our center. We are dealing with a new entity of sexually transmissible infections, in addition to the existing diseases that are being studied.

摘要

背景

皮肤癣菌病是一种皮肤或附属器感染,在环境中极为普遍。性传播感染(STIs)对全球公共卫生构成的威胁日益增加,尤其是在男男性行为者(MSM)中。本研究旨在描述2022年4月至2023年10月我们队列中男男性行为者间性传播皮肤癣菌病的一次暴发。

方法

这是一项回顾性单中心研究,纳入了2010年3月至2023年10月期间在意大利米兰圣拉斐尔科学研究所传染病科被诊断患有至少一次皮肤癣菌病的门诊患者。真菌病诊断主要基于就诊和体格检查后的临床诊断。

结果

总体而言,2010年3月至2023年10月期间,107人被诊断患有皮肤癣菌病。自2022年4月以来观察到的所有56例病例包括55名男男性行为者和1名女性;与2022年之前相比,总共诊断出51例病例。

结论

这些结果突出了我们中心观察到的男男性行为者中真菌感染发病率的明显上升。除了正在研究的现有疾病外,我们正在应对一种新的性传播感染类型。

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