Current Spectrum of Dermatophytosis in a Tertiary Care Hospital of North India – A 6-Year Clinico-Mycological Study

Verma, Santwana

doi:10.18535/jmscr/v5i3.184

Cited by 7 publications

(6 citation statements)

References 13 publications

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“…Infection was more common in 21-30 years age group from which, 27.86% were isolated. Similar findings were seen in other studies 4,6,9 . The reason for the increased incidence in this age group and gender could be due to suburban location of the hospital and the patient's occupation being agriculture and rearing of livestock.…”

Section: Non Dermatophytes Were Predominantly Isolated From Cases Of Onychomycosis (15/140)supporting

confidence: 92%

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Study of the Etiological Agents of Dermatophytosis in Patients Attending Dermatology Clinics of a Suburban Tertiary Care-centre in Western Maharashtra, India

Angadi¹,

Misra²,

Das³

et al. 2019

Int.J.Curr.Microbiol.App.Sci

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Dermatophytes are keratinophilic fungus that infects skin, hair and nails. They belong to the genera Trichophyton, Microsporum and Epidermophyton. Some infections are caused by non dermatophytic filamentous fungi which are often resistant to treatment used for infections caused by dermatophytes. Hence this study was taken up to isolate and identify the causative agents of dermatophytosis and guide in the institution of proper therapy. Methods: All skin, hair and nail samples from suspected cases of Dermatophytosis were processed according to the standard microbiological procedures. Results: Dermatophytosis was more common in males aged 21-30 years. Trichophyton mentagrophytes (T. mentagrophytes) was the most common isolate, followed by Trichophyton rubrum (T. rubrum) and Trichophyton tonsurans (T. tonsurans). Around 25% of the isolates were non dermatophytes like Scopulariopsis brevecaulis, Aspergillus species, Fusarium species and Acremonium species. Dermatophytic infections take a long time to diagnose and treat. It is only by culture, we can achieve the definitive identification of the infecting fungus. This is especially important in cases of nail and skin infections caused by non dermatophytic filamentous fungi which are often resistant to therapy caused by dermatophytic infections. In addition, isolation of the fungus will help in differentiating it from other skin conditions like Dermatitis and Psoriasis.

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Section: Non Dermatophytes Were Predominantly Isolated From Cases Of Onychomycosis (15/140)supporting

confidence: 92%

“…Infection was more common in males (65.7%) than females (34.3%) with M:F ratio close to 2:1. Males were commonly affected in few other studies 5,9 .…”

Section: Non Dermatophytes Were Predominantly Isolated From Cases Of Onychomycosis (15/140)mentioning

confidence: 92%

Study of the Etiological Agents of Dermatophytosis in Patients Attending Dermatology Clinics of a Suburban Tertiary Care-centre in Western Maharashtra, India

Angadi¹,

Misra²,

Das³

et al. 2019

Int.J.Curr.Microbiol.App.Sci

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“…Some of the studies have been listed in the (Table1). [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]…”

Section: Introductionmentioning

confidence: 99%

Tinea genitalis in a rural tertiary care hospital of Western U.P. India

Thakur¹,

Pragya²,

Kalsi³

et al. 2020

IJCED

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Introduction: Genital dermatophytosis is also known as tinea genitalis and pubogenital tinea, and it is one of the superficial fungal infections caused by dermatophytes. The classical clinical presentations in an immunocompetent person consist of an erythematous annular plaque with slightly raised scaly centrifugally advancing border and central clearing. The lesions in patients with HIV/AIDS or immunosuppressed individuals, can be extensive and without central clearing.Purpose: The present study was conducted to know the current scenario and possible mode of transmission of tinea genitalis in males and females and to isolate the causative dermatophyte. Materials and Methods: Patients with dermatophytic lesions in genital area and KOH, and/ or culture positive were enrolled in the study. Samples were collected from the active borders of the lesions after cleaning it with 70% ethyl alcohol and were inoculated on Sabouraud Dextrose Agar (SDA), supplemented with chloramphenicol and cycloheximide. None of the patients had any immunosuppression except 2 (0.72%) had diabetes mellitus and one (0.36%) patient gave history of atopy. Result: Out of a total 276 samples, 274 (99.27%) were Trichophyton interdigitale, and two male patients (0.72%) had tinea genitalis due to Trichophyton rubrum. History of use of topical steroid was present in 202 (73.18%) patients. Conclusion:Patients coming with tinea cruris should also be examined for the presence of tinea genitals, because according to our statistics 22.14% of them also had concomitant tinea genitals. History of having used topical corticosteroids should always be taken from them, because it results in extensive, atypical and extension of the lesions to the neighbouring anatomical sites.

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“…A solitary isolate of Epidermophyton fluccosum was reported from another study which documented T. rubrum (66.17%), T. mentagrophytes (19.11%), T. violaceum (7.35%) and T. tonsurans (2.94%) [2] . Between January 2011 and December 2016, out of 175 culture proven cases T. mentagrophytes (62.28%), T. Rubrum (23.4%), T. violaceum (6.85%), M. gypseum (3.42%), T. tonsurans (2.85%), M. ferruginum (0.5%) are documented but Epidermophyton fluccosum was not observed in any fungal culture [3] . Kaur et al and Bhatia et al conducted studies on dermatophytosis and isolated Trichophyton species as the most frequent, few isolates of Microsporum species but Epidermophyton fluccosum was not isolated from any case by these authors either [4,5] .…”

Section: Discussionmentioning

confidence: 99%

Dermatophytosis in the Sub-Himalayan region – Is Epidermophyton fluccosum Re-emerging?

Verma¹

2018

jmscr

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Dermatophytosis is a common cutaneous condition affecting humans and animals. The causative agents are keratinophilic fungi of three genera, Trichophyton, Microsporum and Epidermophyton. Epidermophyton sp. is exceptional isolate from dermatophytosis in cases from the sub-Himalayan region. Recently a patient presented with tinea corporis and tinea cruris. Epidermophyton fluccosum was isolated probably this indicates the onset of changing spectrum of dermatophytosis in the sub-Himalayan region. Epidemiology of dermatophytosis is changing at a continuous pace.

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Current Spectrum of Dermatophytosis in a Tertiary Care Hospital of North India – A 6-Year Clinico-Mycological Study

Abstract: Dermatophytosis is a common infection of skin, hair and nails caused by Trichophyton

Cited by 7 publications

References 13 publications

Study of the Etiological Agents of Dermatophytosis in Patients Attending Dermatology Clinics of a Suburban Tertiary Care-centre in Western Maharashtra, India

Study of the Etiological Agents of Dermatophytosis in Patients Attending Dermatology Clinics of a Suburban Tertiary Care-centre in Western Maharashtra, India

Tinea genitalis in a rural tertiary care hospital of Western U.P. India

Dermatophytosis in the Sub-Himalayan region – Is Epidermophyton fluccosum Re-emerging?

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