Clinicomycological study of Tinea capitis infections among School children
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2017, Vol 3, Issue 2
Abstract
The common cause of skin infections are dermatophytes. Tinea capitis (Scalp ringworm) is the most common dermatophyte infection of the scalp affecting mainly children below 10 years of age particularly children who live in crowded conditions in urban areas. Tinea capitis results in a diffuse and itchy the scalp, which resembles dandruff. The hair and skin of the scalp are associated with symptoms and signs of inflammation and hair loss. It is closely related to the socio-economic and hygienic conditions typical of the lower strata of rural and urban population. The study was undertaken to demarcate clinical and mycological profile of Tinea capitis among school going children. A total of 560 school children were included in this cross sectional study. Scalp skin scrapings and hair stubs were collected from each child. The samples were then wrapped with sterile parafilm and transported to laboratory for analysis. The specimens were treated for 15-30 minutes with 1-2 drops of 20% KOH before being examined microscopically for fungal hyphae. Fungal cultures were done on Sabouraud's Dextrose Agar (SDA) media slopes containing chloramphenicol. The cultures were incubated at room temperature for 4-6 weeks and observed regularly for growth. Among the children screened, 154 (28%) showed the clinical evidence of Tinea capitis. The most prevalence rate was reported in age groups 4 to 8 years old, and the lowest prevalence was related to age group 12 to 14 years old. Grey patch was the commonest clinical type (63%). The dermatophytes Microsporum canis was the commonest species isolated among school children followed by Trichophyton violaceum, Microsporum audouinii and Trichophyton rubrum. The results of this study revealed that Tinea capitis is very common in children with a low socioeconomic profile. Hence, the personal and community hygiene and economic status of people living in the country should be improved.
Authors and Affiliations
Dr R. Venkatajothi
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