Background: Tinea incognito is a dermatophytic infection in which topical or systemic steroids have modified the clinical appearance of the mycosis and mimicking other skin diseases. Objectives: A large retrospective study was carried out to identify the clinical aspects and type of dermatophytes involved in tinea incognito cases in Iran during [1993][1994][1995][1996][1997][1998][1999][2000][2001][2002][2003][2004][2005][2006][2007][2008]. Patients: Out of 6325 subjects suspected to have dermatophytoses, 56 patients(29 males, 27 females, mean age 32.6 years) were affected with tinea incognito. Methods: The causative agents were identified macroscopically and microscopically after the clinical samples were subjected to potassium hydroxide examination and culture isolation. Results: The most common type of infection was tinea corporis(32.1%) , which significantly affected male patients. The prevalence of the other tineas in decreasing order was as follows: tinea faciei(26.8%) , tinea cruris(14.3%) , tinea manuum(12.5%) , tinea pedis(8.9%) , and tinea capitis(5.4%) . The clinical features were to some extent diverse, ranging from eczema-like, seborrhoeic dermatitis-like, pyoderma-like and folliculitis to alopecia on scalp, trunk and limbs. Trichophyton verrucosum was the most frequently isolated species representing 33.9% of isolates, followed by T. mentagrophytes (28.6%) , T. rubrum(12.5%) , Epidermophyton floccosum(10.7%) , Microsporum canis(8.9%) , T. violaceum(3.6%) , and T. schoenleinii(1.8%) . Conclusion: To the best of our knowledge, this is the first broad investigation dealing with tinea incognito in Iran. The etiological agents of tinea incognito in Iran are consistent with those of the general population.
The post information age will remove the limitations of geography.—Nicholas Negroponte, Being DigitalThe internet has been a continually changing forum for communicating that has been taken up by diaspora communities to maintain connections with their countrymates all over the world. In that capacity, the technology has been an easy and innovative avenue for cultural expression. Iranians, for instance, have established on-line magazines, newsgroups, media and business directories, human rights organizations, student groups, academic organizations and book publishers for a transnational community. Who goes to these sites and why?
Introduction: Brucella canis, a member of Brucella species, has been reported as a cause of human brucellosis in a few cases, and routine serologic tests do not identify this species. In spite the fact that Iran is an endemic area for brucellosis, there has not been any report of human brucellosis due to B. canis. Case Presentation: The patient was a 68-year-old female with complaints of fever, foul smelling urine, malaise, vomiting, and arthralgia. Considering significant leucocytosis and pyuria, positive urine culture antibiotic therapy was initiated for urosepsis. However, due to non-suitable response to antibiotic and negative serologic study for brucellosis, supplemental assessments, including bone marrow aspiration and biopsy (BMA&B), were performed to study malignancy, tuberculosis, and brucellosis. Brucella canis was isolated from BACTEC media and subsequently confirmed by polymerase chain reaction test. Conclusions: Considering the ineffectiveness of routine serologic study for diagnosis of B. canis in the presence of clinical presentations suggestive for brucellosis, blood or BM culture should be considered.
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