Viguie-Vallanet C, Savaglio N, Piat C, Tourte-Schaefer C
Laboratoire de Mycologie, Pavillon Tarnier-Cochin, Paris.
Ann Dermatol Venereol. 1997;124(10):696-9.
One epidemiologic survey was carried out in two children communities, following detection of several cases of Microsporum langeronii tinea capitis.
In one case, 3 year-old children from a day-nursery were contaminated by a child originating from France, who had been previously infected by contact with a friend originating from Ivory Coast. In the second case, lesions were diagnosed in a nursery-school in African children born in France. These were treated before epidemic progression into the school.
Our study confirms data from the literature concerning the risk of contamination by Microsporum langeronii, with a familial contamination being more frequent than scholar one.
The interest of our study was the rapid starting of the epidemiologic survey after first case diagnosis (one to two months) and the treatment of all the patients without scholar eviction. Treatment of all affected patients as well as "asymptomatic carriers" leaded to the arrest to the epidemy. No case of relapse was noted during the following year.
在检测到数例兰氏毛癣菌头癣病例后,在两个儿童社区开展了一项流行病学调查。
在一个案例中,一所日托中心的一名3岁儿童被一名来自法国的儿童传染,该法国儿童此前因与一名来自象牙海岸的朋友接触而被感染。在第二个案例中,在一所法国出生的非洲儿童幼儿园中诊断出病变。在疫情蔓延至学校之前对这些儿童进行了治疗。
我们的研究证实了文献中关于兰氏毛癣菌感染风险的数据,家庭感染比学校感染更为常见。
我们研究的意义在于在首例病例诊断后迅速启动流行病学调查(一到两个月),并且在不将学生逐出学校的情况下对所有患者进行治疗。对所有受影响患者以及“无症状携带者”的治疗导致疫情得到控制。在接下来的一年中未发现复发病例。