Emergence of Resistant Extensive Tinea Infections

Abstract

Dermatophytosis is a contagious infection of the skin, nails, and hair that is spread by direct or indirect contact. There was a failure of standard therapy, resulting in the establishment of recurring and chronic dermatophytosis. The aim of study is to assess the extensive areas of tinea infections, the resistant and recurrent tinea infection, and the efficacy of antifungal drug on clinical cure. This is a type of cohort study was carried out at the outpatient clinic of the department of Dermatology of Salah Al-Deen General Hospital in Tikrit City in the period from October 2020 till June 2021 samples of 100 patients were included. Patients were given anti-fungal treatment and followed up for 3 months. Result is Trichophyton mentagrophytes were the most prevalent isolate. The study revealed statistically significant association between types of treatment and outcome (P = 0.001) Griseofulvin treatment had 33 % (no response) Itraconazole treatment has 9.6 % recurrent and 19.2 % no response. In conclusion the occurrence of atypical dermatophyte infections is rising and now become a Great Imitator. They become extremely extensive and late to diagnose.