Daniel Henry; Adarshlata Singh; Bhushan Madke; Palak Kedia
Abstract
Tinea corporis is a superficial dermatophyte infection. This is a case report of a 45-year-old female presenting with a history of erythematous raised lesions with itching all over the body since one year ago. Based on clinical findings, the lesions were diagnosed as tinea corporis. ...
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Tinea corporis is a superficial dermatophyte infection. This is a case report of a 45-year-old female presenting with a history of erythematous raised lesions with itching all over the body since one year ago. Based on clinical findings, the lesions were diagnosed as tinea corporis. A KOH smear was carried out and results were negative probably due to application of steroids, and a histopathological examination was done. On histopathological examination, the patient was proved to have dermatophytosis caused by Trichophyton mentagrophytes. The patient was successfully treated with oral itraconazole 200mg once a day and griseofulvin 250 mg once a day along with 2 % ketoconazole for topical application.
Tafti Hossein Sadeghi; Ahmadikia Kazem; Rashidian Sara; Hekmatimoghaddam Seyed Hossein; Yazdi Zeinab Ayubi
Volume 20, Issue 2 , 2017, , Pages 37-42
Abstract
Background: Onychomycosis, the fungal infection of the toenails or fingernails, is caused by three major groups of fungi including dermatophytes, yeasts and non-dermatophyte molds. The objective of the present study was to determine the incidence of onychomycosis and to identify the causative fungi during ...
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Background: Onychomycosis, the fungal infection of the toenails or fingernails, is caused by three major groups of fungi including dermatophytes, yeasts and non-dermatophyte molds. The objective of the present study was to determine the incidence of onychomycosis and to identify the causative fungi during a one year period in Yazd, Iran. Materials and Methods: From Apr 2013 to Apr 2014 a total of 273 patients with suspected dermatophytosis were included in this study. Nail-clipping specimens of 71 clinically diagnosed cases of onychomycosis were obtained for mycological examination (KOH preparation and fungal culture). Identification of mycelial isolates was based on morphological appearance and microscopic characteristic of the colony. Supplementary methods for identification of dermatophytes were employed. The species of yeasts were identified by germ-tube and chlamydospore test, as well as colony color on chromogenic CHROMagar Candida medium, and the assimilation profile in API 20C Aux system. Results: Of the 71 patients affected by nail disorders, 26 (36.6%) patients of onychomycosis including 54.9% male and 45.1% female (20 fingernails, 6 toenails) via direct examination and/or culture methods were diagnosed. saprophytic fungi were the most prevailing causative agents of onychomycosis and account for up to 69.2%(n=18) of cases, yeasts and dermatophytes were identified as causative agents of onychomycosis in 7 (26.9%) patients and 1 patient (3.8%), respectively. Distribution of fungal isolates was as follows: Aspergillus niger (26.9%), A. fumigatus (19.2%), Candida albicans (15.3%), A. flavus (11.5%), C. tropicalis (7.6%), Penicillium sp. (7.6%), C. dubliniensis (3.8%), Trichophyton mentagrophytes (3.8%) and Fusarium sp. (3.8%). Conclusion: Because of considerable prevalence of onychomycosis, necessity for a careful mycological examination in patients with nail disorders is highlighted.
Kadian Randhir; El-Gamal Abdel Hamid; Al-Mehnna Basemahma; Al-Otaibi Sultan; Najem Nabeel
Volume 13, Issue 1 , 2010, , Pages 6-8
Abstract
Background: Tinea capitis is predominantly a disease of preadolescent children. Although worldwide in distribution, an increase in its prevalence in Kuwait has recently been reported, particularly in children. Tinea capitis frequently spreads among family members and classmates. The aim of this study ...
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Background: Tinea capitis is predominantly a disease of preadolescent children. Although worldwide in distribution, an increase in its prevalence in Kuwait has recently been reported, particularly in children. Tinea capitis frequently spreads among family members and classmates. The aim of this study was to determine the prevalence of tinea capitis among elementary school children of Al-Ahmadi province in Southern Kuwait. Method: This study was conducted between September 2006 and June 2007. All suspected cases of tinea capitis from 15 visited elementary schools were referred to the dermatology department at Al-Adan Hospital where a full history and examination was performed and the affected areas were scrapped. All obtained specimens were divided into two halves. The 1st half was mounted in a 20% potassium hydroxide solution and examined under light microscope. The 2nd half was cultured in Sabouraud's Dextrose Agar (SDA) 4% and incubated at 25-27°C for 4 weeks. Results: A total of 903 children from 15 elementary schools were included in this study out of which 191 children proved to have tinea capitis. Microsporum canis had the highest percentage (61.7%), while Trichophyton rubrum had the lowest (3.1%). Conclusion: Tinea capitis is a common fungal infection of the scalp in children. The grey patch type is the most common clinical type. A multi center study is needed to confirm the predominance of the isolated dermatophyte and to determine the modifiable and preventable risk factors.
M Mir Shams Shahshahani; M Ghiasi
Volume 9, Issue 1 , 2006, , Pages 49-53
H Mortazavi; SN Emadi; F Farnaghi; H Seirafi; F Safar
Volume 7, Issue 3 , 2004, , Pages 171-178
Abstract
Immunosuppression is known to be associated with increased rate of malignancies and widespread dermatophytosis in the patients with sezary syndrome and this may account for the occurrence of Kaposi’s sarcoma and generalized dermatophytosis in patients in this report. Herein, we report a 58-year-old ...
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Immunosuppression is known to be associated with increased rate of malignancies and widespread dermatophytosis in the patients with sezary syndrome and this may account for the occurrence of Kaposi’s sarcoma and generalized dermatophytosis in patients in this report. Herein, we report a 58-year-old farmer man, who admitted with two months history of severely pruritic skin lesions, which progressed to erythroderma. Concurrently some vascular lesions were observed on glans penis off the patient suggestive of Kaposi’s sarcoma. Leukocytosis with eosinophilia (20%) and atypical lymphocytosis (More than 10%) were present. Microscopic examination of biopsy of erythrodermic skin lesions on trunk revealed pautrier micro abscess with dermal lymphocytic infiltration and cellular atypia, and the peripheral blood sample showing sezary cells and high ratio of CD4/CD8 (45) lymphocyte were in favor of diagnosis of sezary syndrome. The pathologic evaluation of the vascular lesion of glans penis proved the diagnosis of Kaposi’s sarcoma. During the progression of disease, the patient was invaded by generalized dermatophyte infection. KOH smear of annular skin lesion showed mycelia of dermatophyte and culture proved trichophyton rubrum to be the pathogenic agent.
M Omidian
Volume 2, Issue 4 , 1999, , Pages 17-21
Abstract
Background: Dermatophyte infections are common contagious diseases found in all over the world specially in tropical regions. Objective: Our objective was to study different forms of dermatophytosis in Ahwaz. Patients and Methods: We studied 100 cases of dermatophytosis whom were visited in a private ...
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Background: Dermatophyte infections are common contagious diseases found in all over the world specially in tropical regions. Objective: Our objective was to study different forms of dermatophytosis in Ahwaz. Patients and Methods: We studied 100 cases of dermatophytosis whom were visited in a private skin clinic in 1372 to 1376 in Ahwaz. Results: Among 266 suspected patients sent for fungal examination, 100 dermatophyte cases (79 men and 21 women) were diagnosed. Tinea capitis was the most common tinea found in 34% specially in the boys and the most common fungal agent was Microsporum canis. Tinea cruris was found in 32% and was the most common form in men. The most important fungal agent was Epidermophyton fluccosum. The incidence of other forms were: tinea corporis 20%, tinea pedis 7%, tinea faciei 4%, tinea mannum 1%. Onychomycosis due to dermatophytes and tinea barbae were not found, but 2 cases of onychomycosis due to non-dermatophyte saprophytes were observed. Conclusion: Tinea capitis was the most common clinical form and zoophilic fungi were the most common etiologic agents of dermatophytosis in Ahwaz.