Clinico-Mycological Study of Dermatophytosis and Dermatomycosis in Tertiary Care Hospital

Phudang, R. Tokbipi; Vasant, P. Baradkar; Jayanthi, S

doi:10.20546/ijcmas.2019.801.138

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Nevertheless, the infectious agents are not only dermatophytes but also yeasts and molds of the genus Candida. [22] Phudang et al [23] performed a recent epidemiological survey in 2019 of superficial fungal diseases in India showed that Trichophyton and Candida were the frequency of superficial. Our results showed that Trichophyton dermatophytes were responsible for 30.7% of all superficial fungal diseases, while molds of the genus Candida were in 18.4% of the cases.…”

Section: Discussionmentioning

confidence: 99%

Trends in skin fungal infection in Tripoli, Libya, during 2007–2015

Atia

Ashour

Elyounsi

2019

Ibnosina Journal of Medicine and Biomedical Sciences

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IntroductIonSkin fungal infections are fungal diseases that involve the skin, nails, hair, and mucous membrane. [1] Fungal dermatosis are caused by a heterogeneous group of fungi that have the ability to attack the superficial layers of the skin involve stratum corneum, the outermost layer of the skin, and the high keratin-concentration containing appendages, the hair, and nails of the living host. [2] Superficial fungal infection can be categorized as dermatophytic and non-dermatophytic fungal infection. Dermatophytic infections, also known as tinea, affect keratinized tissues. Meanwhile, non-dermatophytic fungal contagions involve tinea versicolor, tinea nigra, piedra, and candidiasis. [3] Dermatophytosis and other superficial and cutaneous fungal infections are still globally regarded as a major health concern. [4,5] Fungal skin infection is becoming common in tropical countries such as Libya due to environmental factors such as heat and humidity but often preventable which necessitates early diagnosis, quick treatment to avert complications, and hospitalizations. Notwithstanding their common incidence, they are often not perceived to be a substantial health alarm. [6] According to the World Health Organization, the global incidence of superficial fungal infection has been reported to be 20%-25%. [7] Studies from different parts of Africa suggest a prevalence of superficial skin fungal infections between 20% and 90%. [8] In Libya, previous studies have documented rates of skin fungal infections ranging from 4.9% to 52.2%. [7,9] The variance in occurrence was significantly attributed to differences in climatic and other geographical conditions in the studied areas. [9] Skin fungal diseases are rarely lethal, but they pose vast economic and psychological problems for patients. They have Background: Skin infection is common worldwide and continues to rise. This study was undertaken to determine the trends in skin fungal infection in patients attending a tertiary hospital. Methods: A total of 253 patients, suspected of superficial and cutaneous skin infections, referred to the Medical Mycology Laboratory of Berustta-Milad Hospital, Libya, were included from attendees over the past 8 years (January 2007-December 2015). Specimens were attained from clinically atypical skin lesions, hair or nail samples of infected patients through scraping. Dermatophyte isolates were identified by studying macroscopic and microscopic characteristics of their colonies. Results: Of 253 samples, fungi were detected in 179 (70.8%) by potassium hydroxide, of which 70 (39.1%) samples were Aspergillus infection followed by 55 (30.7%) samples which were culture positive of Trichophyton spp., 33 (18.4%) samples were isolates of Candida, and 21 (11.8%) due to other opportunistic fungi. Patients with the age group of 17-28 years were more affected. Conclusion: Skin fungal infections are common there is a need to increase the awareness of risk factors contributing to skin fungal infections. Further larger and more detailed epidemiological studi...

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Section: Discussionmentioning

confidence: 99%

Trends in skin fungal infection in Tripoli, Libya, during 2007–2015

Atia

Ashour

Elyounsi

2019

Ibnosina Journal of Medicine and Biomedical Sciences

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“…These infections constitute one of the major public health problems in tropical and subtropical areas. 8 The laboratory diagnosis of dermatophytes involves direct microscopy followed by culture of specimen. 9 Despite the important role of microscopy in diagnosis of fungal infections, cultures provide conclusive and accurate identification of the dermatophyte species.…”

Section: Dermatophytesmentioning

confidence: 99%

Evaluation of Dermatophyte Test Medium and Sabouraud Dextrose Agar for Isolation of Dermatophyte Species

Ahmad

Javed

Mushtaq³

et al. 2020

BIOMEDICA

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Background and Objective: Dermatophyte infections require laboratory diagnosis before treatment is started. Although direct microscopy is routinely performed but culture of dermatophytes is the gold standard. However, it takes about 4 weeks for species identification on primary media. Our aim was to compare dermatophyte test medium (DTM) as a screening medium for the isolation of dermatophytes in comparison with sabouraud dextrose agar (SDA). Methods: It was a comparative study carried out at the Department of Microbiology of Post Graduate Medical Institute, Lahore over a period of nine months. Samples were collected from one hundred patients with clinically suspected dermatophytoses after taking informed written consent. The samples were examined microscopically and then inoculated on two types of culture media, one Sabouraud dextrose agar (SDA) with added chloramphenicol, gentacin and cycloheximide and other dermatophyte test medium (DTM) with added chlortetracycline, gentacin and cyclohexamide. Results: Fungal growth was observed in fifty-six samples on culture. Out of the fifty-six positive on cultures, nineteen were that of dermatophytes. Out of n = 100 patients, ten were positive on SDA while n = 14 dermatophyte species were able to grow on DTM. A significantly higher positivity (P ³ 0.05) for isolating dermatophytes was observed by DTM as compared to SDA. DTM was able to isolate (71%) of the dermatophytes in first 10 days. Isolation rate of dermatophyte species was higher (73.68%) on DTM as compared to SDA which was 52.6%. Conclusion: Authors recommend the use of dermatophyte test medium for the primary isolation and identification of dermatophyte species to be more effective and time saving.

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A Study on Tinea Corporis Infection in Patients Attending a Tertiary Care Hospital, Tirupati

Mounika¹,

Mahalakshmi²,

Rao³

et al. 2021

IJAR

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Purpose: Tinea corporis (Ringworm) is a form of Dermatophytosis, which is a supercial fungal infection involving the trunk, legs, arms, commonly seen in countries like India. Although it is non-invasive and curable, its widespread nature and recurrence rates impose an economic burden on society in developing countries like India. This study aims at isolating different species causing this infection and studying their clinical patterns. Method: The study included the samples from the outpatients attending the Dermatology department of SVRRGGH, Tirupati, who were suspected of having Tinea corporis based on the clinical details, during the period from August 2018 to August 2019. The scrapings are examined by KOH mount and inoculated on Sabouraud's Dextrose agar and Dermatophyte test medium. The species are identied by colony morphology, Lactophenol cotton blue mount, biochemical reactions and standard procedures. Results: Out of 110 samples, overall positivity on direct microscopy is 78.2% (82), for Culture is 38.2%(42) and positive for both KOH and Culture are 38(34%). Out of 7 species isolated, the commonest isolate is Trichophyton mentagrophytes 19(45%), followed by Trichophyton rubrum 12(28%). Conclusion: Tinea corporis infections are more common in the 16-30 years age group, most of the patients belonging to low socioeconomic status with male predominance. Trichophyton species are commonly isolated from lesions in the waist and lower limbs, while Microsporum species from lesions on lower limbs. T. mentagrophytes was found to be the most common isolate and T. rubrum in case of extensive lesions.

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Clinico-Mycological Study of Dermatophytosis and Dermatomycosis in Tertiary Care Hospital

Cited by 4 publications

References 5 publications

Trends in skin fungal infection in Tripoli, Libya, during 2007–2015

Trends in skin fungal infection in Tripoli, Libya, during 2007–2015

Evaluation of Dermatophyte Test Medium and Sabouraud Dextrose Agar for Isolation of Dermatophyte Species

A Study on Tinea Corporis Infection in Patients Attending a Tertiary Care Hospital, Tirupati

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