Mycological analysis of 150 cases of dermatophytosis of skin, hair and nail attending the outpatient department of skin and venereology
Keywords:
DERMATOPHYTOSIS, DIRECT MICROSCOPY, KOH PREPARATION, LCB MOUNT, SDA MEDIUM, TINEA RUBRUM, TINEA MENTAGROPHYTE
Abstract
BACKGROUND: Dermatophytes affect millions of people worldwide. Dermatophytosis inflicts a lot of psychosocial trauma. It is not generally appreciated how disabling a skin disease can be since an apparent trivial rash to the observer may be a source of intense discomfort and stigma to the patient.METHODS: The present study involved mycological analysis of 150 cases of dermatophytosis attending the OPD of Skin and Venereology, AIMSR, Bathinda during the period of 1st April 2014 to 30th September 2015. Detailed history was taken. Samples of skin, hair and nail were taken depending upon the part affected. Out of the material collected, part of it was used for direct KOH examination and remaining part was used to inoculate SDA medium with antibiotics for culture. Results of KOH preparation and culture, along with relevant history, were noted in Proforma. The observations and data obtained from the study were compiled and analyzed.RESULT: KOH examination was positive in 93 (62%) cases while culture was positive in 77 cases (51.34%) Overall, Trichophyton was the most common genus 76 samples (98.7%) isolated followed by Epidermophyton 1 sample. Out of the 77 culture positive cases, T. rubrum was the most common isolate in 51 cases (66.23%) followed by T. mentagrophytes in 22 cases (28.57%). CONCLUSION: It was concluded that KOH examination gives more positive results as compared to culture. Trichophyton infection is more common than Epidermophyton. T. rubrum is the most common infective dermatophyte out of all varieties.References
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2. Noble SL, Forbes RC, Stamm PL. Diagnosis and management of common tinea infections. Am Fam Physician. 1998; (10): 2424-32.
3. Sahin I, Kaya D, Parlak AH, Oksuz S, Behcet M. Dermatophytosis in forestry workers and farmers. Mycoses. 2005; 49(4): 260-4.
4. Bibeka N.J., Vijay K.G., Aggarwal S. Tinea capitis in Eastern Nepal. Int J Dermatol. 2006; 45: 100-03.
5. Chander J. Dermatophytoses. Textbook of Medical Mycology. 2nd edition. Mehta Publishers; 2009: 92-105.
6. Kanwar AJ, Mamta, Chander J. Superficial fungal infections. IADVL textbook and atlas of dermatology. Valia RG, Valia AR, Sidappa K, editors. 2nd ed. Mumbai: Bhalani Publishing House. 2001; 215-58.
7. Lal S, Rao RS, Dhandapani R. Clinico-mycological study of dermatophytosis in a coastal area. Ind J Dermatol Venereol Leprol. 1983; 49(2): 71-75.
8. Bindu V and Pavithran K. Clinico-mycological study of dermatophytosis in Calicut. Ind J Dermatol Venereol Leprol. 2002; 68: 259-61.
9. Lari AR, Akhlaghi L, Falahati M, Alaghebandan R. Characteristics of dermatophytoses among children in an area south of Tehran, Iran. Mycoses. 2003; 48: 32-37.
10. Weitzman I, Summerbell RC. The dermatophytes. Clin Microbiol Rev. 1995; 8(2): 240-59.
11. Sehgal VN, Saxena AK, Kumari S. Tinea capitis. A clinicoetiologic correlation. Int J Dermatol. 1985; 24(2): 116-9.
12. Khare AK, Singh G, Pandy SS, Sharma BM , Kaur P. Pattern of dermatophytoses in and around Varanasi. Ind J Dermatol Venereol Leprol. 1985; 51: 328-31.
13. Kumar GA, Lakshmi N. Tinea capitis in Tirupati. Ind J Pathol Microbiol. 1990; 33 (4): 360-3.
14. Verenkar MP, Pinto MJW, Rodrigues S, Roque WP, Singh I. Clinico-microbiological study of dermatophytes. Ind J Pathol Microbiol. 1991; 34(3):186-92.
15. Patwardhan N, Dave R. Dermatomycosis in and around Aurangabad. Ind J Pathol Microbiol. 1999; 42(4): 455-62.
16. Singh S, Beena PM. Profile of dermatophyte infections in Baroda. Ind J Dermatol Venereol Leprol. 2003; 69(4): 281-83.
17. Tasic S, Stojanovic S, Poljacki M. Etiopathogenesis, clinical picture and diagnosis of onychomycoses. Med Pregl. 2001; 54(1-2): 45-51.
18. Faergemann J, Baran R. Epidemiology, clinical presentation and diagnosis of onychomycosis. Br J Dermatol. 2003; 149(Supl 65): 1-4.
19. Poria VC,Samuel A, Acharya KM, Tilak SS. Dermatomycoses in and around Jamnagar . Ind J Dermatol Venereol Leprol. 1981; 47(2): 84-7.
20. Sharma NL, Gupta ML, Sharma RC, Singh P, Gupta N. Superficial mycoses in Simla. Ind J Dermatol Venereol Leprol. 1983; 49(6): 266-9.
21. Jain Neetu, Sharma Meenakshi, Saxena V.N. Clinico-mycological profile of dermatophytosis in Jaipur, Rajasthan. Ind J Dermatol Venereol Leprol. 2005; 74(3): 274-75.
22. Sarma S and Borthakur A.K. A clinic-epidemiological study of dermatophytosis in Northeast India. Ind J Dermatol Venereol Leprol. 2007; 73(6): 427.
23. Prasad PVS, Priya K, Kaviarasan PK, Aananthi C, Sarayu L. A study of chronic dermatophyte infection in a rural hospital. Ind J Dermatol Venereol Leprol. 2005; 71(2): 129-30.
24. Kalla G, Begra B, Solanki A, Goyal A, Batra A. Clinicomycological study of tinea capitis in desert district of Rajasthan. Ind J Dermatol Venereol Leprol. 1995; 61: 342-5.
25. Browska A, Marie Saunte Ditte, Cavling arendrup Maiken. Five hour diagnosis of dermatophyte nail infections with specific detection of Trichophyton rubrum. Journal of Clinical Microbiology. 2007; 45(4): 1200-04.
26. Mahmoudabadi AZ. A study of dermatophytosis in South West of Iran (Ahwaz). Mycopathologia. 2005; 160: 21-4.
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2016-06-01
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