Canteros C E, Davel G O, Vivot W, D'Amico S
Instituto Nacional de Microbiología Dr. Carlos G. Malbrán, Buenos Aires, Argentina.
Rev Argent Microbiol. 1993 Jul-Sep;25(3):129-35.
In a retrospective review of laboratory records at the Department of Mycology, National Institute of Microbiology "Dr. Carlos G. Malbrán", during the period June 1989-July 1991, 1225 putatively immunocompetent cases of superficial mycoses were identified. Ninety five percent of these patients were adults and 5% children. Among the total cases, dermatomycoses were caused, 67.6% by dermatophytes, 25.9% by yeasts, 5.9% by Malassezia furfur. and 0.5% by other fungi, as proven by the isolation of the etiological agents. (Figure 1, Table 2). Among the dermatophytes Trichophyton rubrum and Trichophyton mentagrophytes greatly predominated accounting for 66.6% and 20.0% of the isolates, respectively, whereas Microsporum canis (8.0%). Epidermophyton floccosum (5.1%) and Microsporum gypseum (0.3%) were found with less frequency (Figure 2). Nails (47%) were the most common source of isolates in adults, followed by feet (28%), smooth skin (15%), groin (5%) and hands (2%) (Table 1). Regarding the relative efficiency of the diagnostic methods, the analyses of laboratory results evidenced that, 98% of the cases with clinical findings compatible with mycoses and 76% of the cases with positive cultures (Table 1) were identified by microscopic observation.
在对国立微生物研究所“卡洛斯·G·马尔布兰博士”真菌学系1989年6月至1991年7月期间实验室记录的回顾性研究中,确定了1225例疑似免疫功能正常的浅表真菌病病例。这些患者中95%为成年人,5%为儿童。在所有病例中,经病原体分离证实,皮肤癣菌病由皮肤癣菌引起的占67.6%,由酵母菌引起的占25.9%,由糠秕马拉色菌引起的占5.9%,由其他真菌引起的占0.5%(图1,表2)。在皮肤癣菌中,红色毛癣菌和须癣毛癣菌占主导地位,分别占分离菌株的66.6%和20.0%,而犬小孢子菌(8.0%)、絮状表皮癣菌(5.1%)和石膏样小孢子菌(0.3%)的发现频率较低(图2)。指甲(47%)是成人分离菌株最常见的来源,其次是足部(28%)、光滑皮肤(15%)、腹股沟(5%)和手部(2%)(表1)。关于诊断方法的相对效率,实验室结果分析表明,98%有与真菌病相符临床症状的病例和76%培养阳性的病例(表1)通过显微镜观察得以确诊。