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[Dermatophytoses due to anthropophilic fungi in Cadiz, Spain, between 1997 and 2008].
Actas Dermosifiliogr. 2010 Apr; 101(3):242-7.AD

Abstract

BACKGROUND AND OBJECTIVES

Cutaneous fungal infections are a major public health problem. The distribution of the dermatophytoses varies between countries and geographical areas. The aim of this study was to determine the incidence, epidemiology, etiology, and clinical course of the dermatophytoses caused by anthropophilic fungi in Cadiz, Spain, over the past 12 years.

MATERIAL AND METHODS

The study, conducted between 1997 and 2008, included 2,235 samples from lesions of the skin, hair, and nails of 2,220 patients with a clinical suspicion of mycosis. Samples were examined by microscopy using potassium hydroxide and were cultured on mycological media. The dermatophytes were identified by their macroscopic and microscopic characteristics.

RESULTS

Cultures were positive in 283 cases (12.7%). Anthropophilic dermatophytes (53.3%) were more common than zoophilic (41.3%) and geophilic (5.3%) dermatophytes. Trichophyton rubrum (38.2%) was the predominant pathogen isolated, followed by Microsporum canis (22.3%) and Trichophyton mentagrophytes (15.5%). Five other species of anthropophilic fungi were identified: Trichophyton tonsurans (5.6%), Trichophyton violaceum (4.9%), Epidermophyton floccosum (2.8%), Trichophyton soudanense (1.0%), and Trichophyton schoenleinii (0.7%). Infections caused by the anthropophilic fungi included tinea unguium (29.1%), tinea corporis (25.8%), tinea pedis (19.2%), tinea cruris (11.9%), tinea capitis (5.3%), and tinea faciei (3.3%).

CONCLUSIONS

The principal fungus responsible for dermatomycosis in Cadiz was T. rubrum, and its incidence has been rising since 2000. The prevalence of other anthropophilic fungi, such as T. tonsurans and T. violaceum, has increased, though this is not directly related to immigration. E. floccosum, T. soudanense, and T. schoenleinii are isolated occasionally.

Authors+Show Affiliations

Servicio de Microbiología, Hospital Universitario Puerta del Mar, Cádiz, España. pigiem1983@yahoo.com.arNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

20398600

Citation

García-Martos, P, et al. "[Dermatophytoses Due to Anthropophilic Fungi in Cadiz, Spain, Between 1997 and 2008]." Actas Dermo-sifiliograficas, vol. 101, no. 3, 2010, pp. 242-7.
García-Martos P, García-Agudo L, Agudo-Pérez E, et al. [Dermatophytoses due to anthropophilic fungi in Cadiz, Spain, between 1997 and 2008]. Actas Dermosifiliogr. 2010;101(3):242-7.
García-Martos, P., García-Agudo, L., Agudo-Pérez, E., Gil de Sola, F., & Linares, M. (2010). [Dermatophytoses due to anthropophilic fungi in Cadiz, Spain, between 1997 and 2008]. Actas Dermo-sifiliograficas, 101(3), 242-7.
García-Martos P, et al. [Dermatophytoses Due to Anthropophilic Fungi in Cadiz, Spain, Between 1997 and 2008]. Actas Dermosifiliogr. 2010;101(3):242-7. PubMed PMID: 20398600.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Dermatophytoses due to anthropophilic fungi in Cadiz, Spain, between 1997 and 2008]. AU - García-Martos,P, AU - García-Agudo,L, AU - Agudo-Pérez,E, AU - Gil de Sola,F, AU - Linares,M, PY - 2010/4/20/entrez PY - 2010/4/20/pubmed PY - 2010/9/8/medline SP - 242 EP - 7 JF - Actas dermo-sifiliograficas JO - Actas Dermosifiliogr VL - 101 IS - 3 N2 - BACKGROUND AND OBJECTIVES: Cutaneous fungal infections are a major public health problem. The distribution of the dermatophytoses varies between countries and geographical areas. The aim of this study was to determine the incidence, epidemiology, etiology, and clinical course of the dermatophytoses caused by anthropophilic fungi in Cadiz, Spain, over the past 12 years. MATERIAL AND METHODS: The study, conducted between 1997 and 2008, included 2,235 samples from lesions of the skin, hair, and nails of 2,220 patients with a clinical suspicion of mycosis. Samples were examined by microscopy using potassium hydroxide and were cultured on mycological media. The dermatophytes were identified by their macroscopic and microscopic characteristics. RESULTS: Cultures were positive in 283 cases (12.7%). Anthropophilic dermatophytes (53.3%) were more common than zoophilic (41.3%) and geophilic (5.3%) dermatophytes. Trichophyton rubrum (38.2%) was the predominant pathogen isolated, followed by Microsporum canis (22.3%) and Trichophyton mentagrophytes (15.5%). Five other species of anthropophilic fungi were identified: Trichophyton tonsurans (5.6%), Trichophyton violaceum (4.9%), Epidermophyton floccosum (2.8%), Trichophyton soudanense (1.0%), and Trichophyton schoenleinii (0.7%). Infections caused by the anthropophilic fungi included tinea unguium (29.1%), tinea corporis (25.8%), tinea pedis (19.2%), tinea cruris (11.9%), tinea capitis (5.3%), and tinea faciei (3.3%). CONCLUSIONS: The principal fungus responsible for dermatomycosis in Cadiz was T. rubrum, and its incidence has been rising since 2000. The prevalence of other anthropophilic fungi, such as T. tonsurans and T. violaceum, has increased, though this is not directly related to immigration. E. floccosum, T. soudanense, and T. schoenleinii are isolated occasionally. SN - 1578-2190 UR - https://www.unboundmedicine.com/medline/citation/20398600/[Dermatophytoses_due_to_anthropophilic_fungi_in_Cadiz_Spain_between_1997_and_2008]_ L2 - http://www.elsevier.es/en/linksolver/pdf/pii/13149162 DB - PRIME DP - Unbound Medicine ER -