A clinicomycological study of cutaneous mycoses in Sawai Man Singh Hospital of Jaipur, North India

Abstract

Background:Because of the widespread prevalence of the various cutaneous mycoses in a tropical country like India, it is important to know their patterns of etiology and clinical presentations.Aim:The present study was conducted in order to identify the clinical pattern of various cutaneous mycoses and the common etiological agents affecting the study populations admitted in SMS Hospital, Jaipur, in North India.Materials and Methods:Skin scrapings and hair and nail samples of 160 patients with clinical suspicion of dermatophytosis were collected and subjected to direct microscopy and were cultured in Sabouraud's dextrose agar. Fungal species were identified by macroscopic and microscopic examination. Data were presented as simple descriptive statistics (SPSS, Version 17.0 (Chicago Il, USA). Epi Info Version 3.5.1 (CDC, Atlanta, Georgia, USA).Results:Among the 160 clinically suspected patients of cutaneous mycoses, 60 (37.5%) were confirmed by culture. Dermatophytes and non-dermatophytes (NDM) were isolated from 66.6% (40/60) and 33.3% (20/60) of the positive cultures, respectively. Tinea capitis (50%) 30/60 was the most frequent clinical pattern and genus Trichophyton violaceum 32.5% (13/40) was the most common isolate in dermatophytosis-positive samples. Among the patients positive for NDM by culture, Tinea unguium 35% (7/20) was the most common clinical presentation and Aspergillus species 40% (8/20) were the most common etiological agents isolated.Conclusion:Although dermatophtes have been isolated from the cases of cutaneous mycoses all over the world with various frequencies, the role of NDM in the different cutaneous infections other than those of nail infections need to be evaluated.

Antifungal activity of Ficus sycomorus L. extracts against dermatophytes and other associated fungi isolated from Camels ringworm lesions

“…Also, Aspergillus spp. was the most common non-dermatophytes mould from the infected skin (Shujat, et al, 2014;Vyas, et al, 2013). In this study, A. terreus was associated with the dermatophytes Trichophyton and Microsporum in the severe skin infections which confirm the previous study that infected skin serves as a portal of entry for Aspergillus organism (Hashmi et al, 2007).…”

A systematic review of worldwide data on tinea capitis: analysis of the last 20 years

“…However, the prevalence in adults remains low because, as starting in adolescence, the amount of saturated fatty acids is sebum that serve as fungistatic compounds increases. Reports in this population are becoming more frequent and are associated with various comorbidities, including chronic diseases such as rheumatoid arthritis, HIV, kidney failure, leukaemia or diabetes mellitus 11,111 . Other factors involved in the transmission of TC, for both adults and children, are direct contact with infected persons or asymptomatic carriers, such as primary care‐givers who may carry the fungus on their scalp and transmit it to healthy children, and direct contact with domestic animals or breeding, and with fomites.…”

“…In India, Nepal and Pakistan, the CT frequency was lower than that in Iran. The main aetiologic agents implicated in the pathogenesis of CT in these countries were T. violaceum , T. tonsurans , T. rubrum , T. verrucosum and T. mentagrophytes 8,11,109–114 …”

Evaluation of impact of tinea capitis on quality of life in pediatric patients using children's dermatology life quality index and its correlation with disease duration

“…However, the most prevalent species responsible for black dot, grey patch aswell as favus in our side of the country are Trichophyton violaceous, Trichophyton rubrum, and Trichophyton metagrophytes, all nonfluorescent species. [ 20 21 22 23 24 25 ] The absence of Wood's lamp fluorescence observed in our patients could be attributed to this geographic variation in species' distribution. In addition, most cases of kerion are also nonflourescence owing to the fact that secondary inflammation obscured the fungus.…”