Prevalence of subcutaneous mycosis in a tertiary care centre
Journal Title: Medpulse International Journal of Microbiology - Year 2019, Vol 10, Issue 3
Abstract
Background: The incidence of subcutaneous mycosis and associated fungal species varies in different geographic region. It seems to be increasing in some tropical region.Objective:1. To determine the prevalence of infectious etiology (especially fungal) of chronic subcutaneous swellings. 2. To determine prevalence, clinical variation, common etiological agents of subcutaneous mycosis in these patients.Material and methods:In this retrospective study, a total of 3280 patients with chronic subcutaneous swellings(from Jan 2016 to Feb 2017) were screened for infectious and non infectiousetiology. Those patients who fulfilled the inclusion criterion were included. The detail data of clinical observations and specific investigations which include fine needle aspiration cytology (FNAC)/Histopathology examination and conventional microbiological culture findings on aspirated/ biopsy material was obtained.Results: A total number of 301/3280 (9.17%) patients had infectious etiology. Out of these, tuberculosis and non tuberculosisetiology were found in 285/301 (94.68%) and 16/301 (5.31%) respectively based on FNAC examination. Among these, fungal infections (14/16) 87.5% and parasitic (02/16) 12.5% were seen. Males with age group of 40 to 80 years were commonly affected. A total of 12/14 (85.71%) lesions were found commonly on extremities .A total of 35.71% samples were culture positive. The fungal species identified were Exophialajeanselmei (01), Cladosporium cladosporioides species (02), Pheoacremonium species (01), Mucor species (01).Conclusion: The subcutaneous mycosis with no clinical suspicion were found in 14/301 (4.65%) cases which is quite high.It was associated with rare fungal etiology.
Authors and Affiliations
EmekarSupriya M, MoreSanjaykumar R, Rathod Vimal S, Kandle Suresh K, Mudholkar Vishal G, Muddamwar Vijaya G
Keywords
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- EP ID EP616988
- DOI 10.26611/10081033
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