Les onychomycoses à moisissure au Maroc : à propos de 150 cas isolés en 20 ans

Hajoui, Fatima Zahra; Zeroual, Z.; Ghfir, B.; Moustachi, A.; Lyagoubi, M.; Aoufi, S.

doi:10.1016/j.mycmed.2012.05.001

Cited by 18 publications

(3 citation statements)

References 21 publications

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“…(0.4%) were also isolated in this study. Similar results were described by Hajoui et al in Morocco; they found one case of Onychocola canadensis (0.7%) and one case of Scytalidium dimitiatum (0.7%) [24].…”

Section: Discussionsupporting

confidence: 88%

Epidemiological and Mycological Aspects of Onychomycosis in Dakar (Senegal)

Sylla

Tine

Sow

et al. 2019

JoF

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Onychomycosis is a fungal nails infection often caused by yeasts, dermatophytes and molds. It is an important public health concern due to its high prevalence, the problem of diagnostics, and the poor response to treatments. The objective of this study was to evaluate the epidemiological and microbiological profile of onychomycosis diagnosed at the Laboratory of Parasitology-Mycology of the National University Hospital of Fann in Dakar, Senegal, from 2012 to 2016. A retrospective and descriptive study was performed from January 2012 to December 2016 in a patient attending the laboratory of Parasitology-Mycology at the Fann teaching hospital. Socio-demographic, clinical and biological data were collected from the bench registers. Samples from the lesions were tested using direct microscopy and cultured on a Sabouraud-Chloramphenicol and Sabouraud-Chloramphenicol-Actidione medium. A descriptive analysis was done using Stata IC 12 software. The significance level of different tests was set at 5% two-side. A total of 469 patients were included in this study. The mean age of the study population was 33.2 ± 15.2 years, and the sex ratio was 0.52. The prevalence of onychomycosis was 48.4% (227/469). The main clinical presentations were disto-lateral subungual onychomycosis (37.9%) and onyxis (46.5%). Identified fungal species were Candida albicans (42.7%), Candida spp (39.5%), Trichophyton soudanense (10.1%), Fusarium spp (5.3%), and Candida tropicalis (2.6%). Candida albicans was more frequent in subjects over 15 years of age (43.6%) and women (45%). However, Trichophyton soudanense was higher in patients under 15 years old (17.4%) as well as in male subjects (18.8%). In conclusion, onychomycosis is a common cause of consultation in health facilities. Candida albicans and Trichophyton Soudanense are the main fungal species causing onychomycosis. A better understanding of the epidemiology of onychomycosis as well as the spectrum of the pathogen could contribute to improve the management of the infection.

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Section: Discussionsupporting

confidence: 88%

Epidemiological and Mycological Aspects of Onychomycosis in Dakar (Senegal)

Sylla

Tine

Sow

et al. 2019

JoF

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“…In contrast, a study reported in Italy showed that Scopulariopsis brevicaulis was the dominant causative mold [ 37 ], although a recent paper from Morocco reports the increasing frequency of Aspergillus onychomycosis [ 38 ]. In the present work, two cases of onychomycosis were due to Scytalidium species.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Etiology, and Risk Factors of Tinea Pedis and Tinea Unguium in Tunisia

Toukabri

Dhieb

Euch

et al. 2017

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Background Foot mycoses are a frequent disease that represents a public health problem worldwide. Objectives This study aims to evaluate the epidemiology of foot mycoses among Tunisian patients, in order to determine the fungal etiological agents and to identify possible risk factors. Patients and Methods A prospective study of three hundred and ninety-two patients was undertaken during one year (2013-2014). All subjects were asked to collect demographic data related to the risk factors of foot mycoses. A complete mycological diagnosis was carried out on all patients. Results A total of 485 samples were collected; tinea pedis and tinea unguium were confirmed in 88.2% of cases. Dermatophytes were isolated in 70.5% and the most frequent pathogen was Trichophyton rubrum (98.1%), followed by yeasts (17.7%) commonly Candida parapsilosis. Non-dermatophyte molds (NDMs) were observed in 8.02% cases and Fusarium sp. was the frequent genus (29.1%). The main predisposing factors of fungal foot infections were practicing ritual washing (56.6%) and frequentation of communal showers (50.5%). Conclusion This is a recent survey of foot mycoses in Tunisia. Epidemiological studies can be useful to eradicate these infections and to provide further measures of hygiene and education.

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“…Determining the mycological cause of onychomycosis is helpful in guiding antifungal treatment and preventing complications [ 32 ]. Identification of the fungal agent directs the treatment plan, as well as prognosis.…”

Section: Diagnosismentioning

confidence: 99%

A Review of Onychomycosis Due to Aspergillus Species

et al. 2017

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Aspergillus spp. are emerging causative agents of non-dermatophyte mould onychomycosis (NDMO). New Aspergillus spp. have recently been described to cause nail infections. The following criteria are required to diagnose onychomycosis due to Aspergillus spp.: (1) positive direct microscopy and (2) repeated culture or molecular detection of Aspergillus spp., provided no dermatophyte was isolated. A review of 42 epidemiological studies showed that onychomycosis due to Aspergillus spp. varies between < 1 and 35% of all cases of onychomycosis in the general population and higher among diabetic populations accounting for up to 71% and the elderly; it is very uncommon among children and adolescence. Aspergillus spp. constitutes 7.7–100% of the proportion of NDMO. The toenails are involved 25 times more frequently than fingernails. A. flavus, A. terreus and A. niger are the most common aetiologic species; other rare and emerging species described include A. tubingensis, A. sydowii, A. alliaceus, A. candidus, A. versicolor, A. unguis, A. persii, A. sclerotiorum, A. uvarum, A. melleus, A. tamarii and A. nomius. The clinical presentation of onychomycosis due to Aspergillus spp. is non-specific but commonly distal–lateral pattern of onychomycosis. A negative culture with a positive KOH may point to a NDM including Aspergillus spp., as the causative agent of onychomycosis. Treatment consists of systemic therapy with terbinafine or itraconazole.

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Les onychomycoses à moisissure au Maroc : à propos de 150 cas isolés en 20 ans

Cited by 18 publications

References 21 publications

Epidemiological and Mycological Aspects of Onychomycosis in Dakar (Senegal)

Epidemiological and Mycological Aspects of Onychomycosis in Dakar (Senegal)

Prevalence, Etiology, and Risk Factors of Tinea Pedis and Tinea Unguium in Tunisia

A Review of Onychomycosis Due to Aspergillus Species

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