Clinico-aetiological profile of onychomycosis at a tertiary care centre in northeast India
Journal Title: IP Indian Journal of Clinical and Experimental Dermatology - Year 2018, Vol 4, Issue 3
Abstract
Onychomycosis OM represents nearly 50 percent of all nail disorders and accounts for about 30 percent of all superficial fungal infections of the skin Often it becomes a nidus for recurrent superficial skin infectionsAims and Objectives To study the clinico aetiological profile of onychomycosis and identify various predisposing factorsMaterials and Methods A hospitalbased crosssectional prospective study from October 2010 to March 2012 in Department of Dermatology Venereology and Leprology in collaboration with Department of Microbiology at a tertiary hospital in Imphal Manipur Demographic profile detailed history risk factors clinical examinations investigations which consisted of direct microscopy with 10 potassium hydroxide KOH culture in Sebourauds dextrose agar SDA SDA incorporated with chloramphenicol 005mgsml and cyclohexamide 05mgml were takenResults A total of 122 54 male and 68 female patients diagnosed with onychomycosis were included in this study Maximum number of our patients 566 was between 21 and 40 years of age Male to female ratio was 113 Housewives form the predominant group accounting for 419 followed by students 287 and farmer 139 Some of the predisposing factors associated were smoking 254 trauma 312 concomitant fungal infection 59 and family history of superficial mycosis 164 DLSO 82 was the commonest morphological pattern of OM followed by TDO 98 Trichophyton sp 443 forms the commonest aetiological agent of OM NDMs constituted 369 of the total nail cases in our study Aspergillus sp 733 was the most common isolate among the nondermatophyte molds NDM followed by Mucor sp 111 Dermatophytes 45 were the commonest cause of DLSO Candida sp were responsible for all the cases of PSOConclusion Dermatophytes are still the commonest cause of onychomycosis but NDMs and yeast can no longer be ignored as one of the causative organisms of OMKeywords Onychomycosis OMs Dermatophytes non dermatophytic moulds NDMs Candida Northeast India
Authors and Affiliations
Bijayanti Devi, Dilimpou Pamei, Sanalembi Mutum
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