Changing trend in clinico-mycological profile of dermatophytosis of skin in Eastern India
Journal Title: IP International Journal of Medical Microbiology and Tropical Diseases - Year 2018, Vol 4, Issue 3
Abstract
Introduction Dermatophytosis is one of the most prevalent cutaneous mycosis and a public health problem in West Bengal as well as in India Its footprint spans far and wide across urban and rural Bengal with a distribution that is determined by a multitude of factors like geography environmental conditions hygiene and sanitation Despite its surging incidence Dermatophytosis in Bengal remains a seldom studied topicAim The present study was undertaken to assess the burden of dermatophytosis by clinicomycological evaluation using standard laboratory protocol and its correlation with clinical parametersMaterial and Methods A cross sectional and observational study was conducted in 100 clinically diagnosed patients of dermatophytosis of skin attending the dermatology outpatient department of our tertiary care hospital Skin scrapings were collected from the active margins of the obvious new lesions and processed in the Mycology laboratory following standard protocol All specimens were screened for presence of dermatophytes by direct microscopy using KOH DMSO preparation and were confirmed by fungal cultureResults Among all clinical types Tinea corporis 580 was the predominant clinical condition Males were affected more 600 than females The predominantly affected age group was found to be 21 30 years 350 followed by 3140 years 240 Fungi were demonstrated in 720 cases by direct microscopy in KOH mount while 510 cases were found as culture positive However 020 cases were KOH negative but culture positive Microsporum audouinii 200 was the predominant species identified followed by Trichophyton rubrum 10 Some rare species like Microsporum persicolor Microsporum distortum Microsporum fulvum were also isolated in our study which are rarely documented in the literature till dateConclusions In our study males in the age group 2140 years were most commonly affected Tinea corporis was found to be the most common clinical presentation likely due to the poor hygiene and lack of sanitation amongst the study population most of whom were manual labourers Microsporum audouinii was the most common isolateKeywords Dermatophyte Dermatophytosis Tinea Microsporum audouinii
Authors and Affiliations
Reena Ray Ghosh, Samatirtha Chandra, Chandrika Goswami, Mitali Chatterjee
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