Sinski J T, Flouras K
Mycopathologia. 1984 Mar 15;85(1-2):97-120. doi: 10.1007/BF00436709.
A survey of dermatophytes isolated from patients seeking medical advice was made from 1979 to 1981 in the United States. The survey included 54 locations with data from 40 cities and 2 states. Correlations of these data with that of the other localities of the world were made to illustrate the dynamic epidemiology of several common dermatophytes. The most often isolated dermatophyte in this survey was Trichophyton rubrum having 53.66% of the total for these three calendar years. In a chronological listing of ringworm infections caused by this organism, many areas of the world have reported similar increased incidence of this pathogen. Trichophyton tonsurans was isolated 27.85% of the total. A dramatic increase of this pathogen as a cause of tinea capitis has been observed in most cities of the United States. It has been isolated in 25 different countries of the world. The percentage of isolation of Trichophyton mentagrophytes was 8.56%. This percentage may not be near the true incidence of infection by this dermatophyte because the infections are mild and respond to treatment without the individual seeking medical advice. Since the 1950s the percentage of isolations of the total has dropped for T. mentagrophytes in the United States. Epidermophyton floccosum accounted for 4.36% of the total. In a few areas of the world it causes over 30% of the total of dermatophytoses. Microsporum canis was isolated 3.72% of the total in the United States. It has recently been reported to be the dominant agent of tinea capitis in several South American countries, Tucson, Arizona and Kuwait. Once the dominant pathogen of tinea capitis in children in the United States, it was replaced by Microsporum audouinii before 1960. Today in the United States, M. audouinii only accounts for 0.30% of the total. It is considered eliminated as a pathogen in England. In this survey, isolated less than 1.0% of the total were Microsporum gypseum. Microsporum ferrugineum , Microsporum nanum , Microsporum fulvum and Trichophyton schoenleinii . Trichophyton meginii and Trichophyton terrestre were reported isolated but no numerical data were available.
1979年至1981年期间，在美国对寻求医疗建议的患者所分离出的皮肤癣菌进行了一项调查。该调查涵盖了54个地点，数据来自40个城市和2个州。将这些数据与世界其他地区的数据进行关联，以阐明几种常见皮肤癣菌的动态流行病学情况。本次调查中最常分离出的皮肤癣菌是红色毛癣菌，在这三个日历年中占总数的53.66%。在按时间顺序列出的由该生物体引起的癣感染中，世界上许多地区都报告了这种病原体发病率的类似增加情况。须癣毛癣菌占分离总数的27.85%。在美国的大多数城市，已观察到这种病原体作为头癣病因的显著增加。它已在世界上25个不同国家被分离出来。石膏样小孢子菌的分离百分比为8.56%。这个百分比可能并不接近这种皮肤癣菌的实际感染发生率，因为这些感染症状较轻，在患者未寻求医疗建议的情况下就能对治疗产生反应。自20世纪50年代以来，在美国石膏样小孢子菌的分离总数百分比有所下降。絮状表皮癣菌占总数的4.36%。在世界上一些地区，它导致的皮肤癣菌病占总数的30%以上。犬小孢子菌在美国的分离总数中占3.72%。最近有报道称，它是几个南美国家、亚利桑那州图森市和科威特头癣的主要病原体。它曾是美国儿童头癣的主要病原体，在1960年前被奥杜盎小孢子菌所取代。如今在美国，奥杜盎小孢子菌仅占总数的0.30%。在英国，它被认为已不再是一种病原体。在本次调查中，石膏样小芽胞癣菌、铁锈色小孢子菌、猪小孢子菌、黄癣菌和许兰毛癣菌的分离数均不到总数的1.0%。曾报告分离出巨大毛癣菌和土生毛癣菌，但没有具体的数值数据。
