Introduction: Skin is a mechanically protective layer as well as cosmetically significant anatomical structure. The superficial cutaneous fungal infections involve its outer most covering including appendages like hair and nails. This the most common causes of skin disease in many tropical countries. Objectives: To study the prevalence, aetiology, speciation and sensitivity of superficial fungal infections. Materials and Methods: The study was conducted on 100 clinically diagnosed cases of Superficial Fungal Infection attending the Dermatology OPD for a period of 6 months. Detailed history was taken in relation to age, sex, duration of illness, personal history, recurrent infections etc. Clinical examination of lesion included number, types of lesions, scaling, presence of crusts or pustules, scarring, black dot appearances, hair lusture etc. Samples like skin scrapings, hair stubs, nail clippings and pus were collected for KOH study and fungal culture. Results: Dermatophyte infection mostly Tinea corporis is found to be more in male in 20-30 years age group of population. Covered part of the body is affected more and commonly hygiene plays a major part of its occurrence. KOH positivity is found in 68% and culture positivity in 88.2% of the clinically diagnosed cases with Trichophyton species as the commonest. Fluconazole and Clotrimazole found to be highly sensitive ; Ketoconazole fount to be partially sensitive with 65%. Conclusion: Dermatophytes were the commonest mycological isolate with Trichophyton rubrum as the common infecting species. Young male preponderance with involvement of covered areas of the body of both skilled and unskilled workers. This can be prevented by a meticulous personal hygiene. Fluconazole and Clotrimazole found to be highly sensitive.
Dengue fever is one of the most commonly occurring mosquito borne-viral illnesses that has a wide range of presentation in children and is common during the monsoon season. The severity of illness ranges from mild undifferentiated fever, dengue with warning signs, severe dengue fever and dengue fever with organ dysfunction. The symptoms of dengue may be easily mistaken for those of flu or other viral infections. Contrary to other fevers, complications in dengue occur during the phase of defervescence and can be life threatening in children due to shock or profuse hemorrhage. 55 dengue positive children who were diagnosed by dengue antigen detection or dengue antibody positive were included in the study. Most of children were above 10 years and the commonest presenting symptoms were fever, headache, body pain, nausea, anorexia, abdominal pain and vomiting. Most of the children presented with two or more warning signs like persistent vomiting, thrombocytopenia, increasing hematocrit and hepatomegaly. Few children developed features of early shock, which was diagnosed early and treated effectively. All the children responded well to treatment measures and recovered well during hospital stay. Having a high of suspicion and careful monitoring of children is crucial for reducing occurrence of complications and death due to this severe infection.
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