A 5-year survey of dermatomycoses in southwest Poland, years 2003-2007

Abstract

The study was performed to analyse the spectrum of dermatomycoses in southwest Poland during the period 2003-2007. A total of 10,486 patients were investigated for fungal skin infections by means of native specimen and cultivating procedures. Skin scrapings, plucked hairs and nail clippings were examined and identified by direct microscopy and culture. From 2468 patients, 2753 fungi were identified including dermatophytes, yeast and moulds. Among the dermatophytes, the most common pathogen isolated was Trichophyton rubrum (59.4%), followed in descending order by: Trichophyton mentagrophytes var. interdigitale (16.6%), Trichophyton mentagrophytes var. mentagrophytes (9.0%), Trichophyton tonsurans (6.8%), Microsporum canis (5.1%) and Epidermophyton floccosum (2.7%). Among the yeast-like fungi, a marked predominance of Candida species was observed (86.3%). Scopulariopsis brevicaulis was the most commonly isolated mould (25.2%). The most frequently affected body sites were the toenails (53.9%), followed by the fingernails (19.0%). In children under 15 years of age, glabrous skin was the most commonly affected body site with M. canis as the most frequent causative agent.

Major challenges and perspectives in the diagnostics and treatment of dermatophyte infections

“…The pathogenic potential of dermatophytes occurring in soil is relatively low in comparison with animal-related ones. The prevalence of infection rates is assessed at approximately 1% of all dermatophytoses, although in some regions it can reach up to 7% (Seebacher et al 2008;Jankowska-Konsur et al 2011;Vena et al 2012;Hubka et al 2015). This group of dermatophytes comprises a high and still rising number of species, which in part is related to the increasing use of molecular methods in species identification (Gnat et al 2019f, 2019e) Moreover, in the last few years, several presumed soil dermatophytes have been isolated from clinical material (Dolenc-Voljc and Gasparic 2017;Soankasina et al 2017;Gnat et al 2019a).…”

Isoconazole nitrate: a unique broad‐spectrum antimicrobial azole effective in the treatment of dermatomycoses, both as monotherapy and in combination with corticosteroids

“…The most common pathogens relevant in superficial fungal infections are dermatophytes (~70%), yeasts (~35%), and non‐dermatophytic moulds (<10%) . Most dermatophytoses involve more than one type of pathogen from the Trichophyton, Microsporum or Epidermophyton species .…”

Epidemiological characteristics of onychomycosis in dermatological consultation

“…Probablemente en las dermatofíticas pueda relacionarse a factores genéticos, puesto que las mujeres con onicomicosis tienden a tener hijos con la misma afectación (11) . En cambio, las causadas por Candida pueden ser explicadas por las lesiones traumáticas del aparato ungueal, contacto permanente a la humedad, las actividades domésticas con la manipulación de las uñas (18) . Además, se debe probablemente a las características culturales, ya que la mujer es más dispuesta a la consulta, mientras que la población masculina es más reacia mientras el cuadro no presente una complicación (15) .…”

“…Nac. (Itauguá) 2019;11(2):04- 18 10.18004/rdn2019.0011.02.005-018 Esta micosis superficial continúa con un aumento en su incidencia, debido a la concomitancia de patologías que deprimen el sistema inmunológico como el VIH, el uso de corticoesteroides, el uso de calzados oclusivos por tiempo prolongado, la utilización de baños y piscinas públicas, y las prácticas cosméticas ligadas a las uñas (1)(2)(3)(4) .…”