Clinico-mycological Study of Dermatophytosis at a Tertiary care hospital in Maharashtra
Journal Title: Medpulse International Journal of Microbiology - Year 2017, Vol 2, Issue 1
Abstract
Background: Dermatophytosis does not cause mortality but it does cause morbidity and poses a major public health problem and also is of cosmetic importance. They are assuming greater significance in both developed and developing countries particularly due to the advent of immunosuppressive drugs and various immunosuppressive conditions. The present study was undertaken to isolate and to find out the species prevalence in patients of dermatophytosis, to assess the clinico-epidemiological profile of dermatophytic infection, and to compare the clinical diagnosis with KOH smear and culture. Material and Methods: A total of 100 clinically diagnosed cases of superficial mycosis of all age groups and of both sexes were included. Skin, hair and nail specimens were taken from clinical lesions and examined by direct microscopy using KOH mount and culture was done on Sabouraud’s Dextrose Agar with antibiotics and also on Dermatophyte Test Medium. Fungal isolates on SDA were further identified by lactophenol cotton blue mount, slide culture and urease test. Results: Most common clinical type was Tinea Corporis (28%) followed by Tinea unguium (27%) and Tinea cruris (13%). 64% samples were positive by both KOH and culture. Out of 67 dermatophytes isolated, T. rubrum, T. mentagrophytes, T. tonsuransand E. floccosumwere 34%, 27%, 4%, and 2% respectively. Conclusion: Dermatophyte infections are very common in this region where hot and humid climate in association with poor hygienic conditions play an important role in the growth of these fungi. Tinea corporis was the commonest clinical type. Trichophyton species were the commonest aetiological agent of dermatophytosis and T. rubrum was the commonest isolate. Among culture methods, DTM was found slightly less efficient than SDA in primary isolation of dermatophytes.
Authors and Affiliations
Suryawanshi N M, Pichare A P, Deshpande K D, Davane M S
Keywords
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