AI Article Synopsis
- Superficial and cutaneous fungal infections are prevalent in tropical regions, prompting a study to gather data on these infections and their causes among patients in Shiraz, Iran.
- Over a four-year period, 1807 patients were evaluated, leading to 750 confirmed cases of mycoses, with the majority affecting nails and skin.
- The findings revealed that Candida species were the most common yeast, while dermatophytosis cases were primarily tinea unguium and tinea capitis, providing insights into the epidemiology of these fungal infections.
Article Abstract
Background: Superficial and cutaneous fungal infections are common in tropical areas. The aim of this study was to provide a basic database of superficial and cutaneous mycoses and the most common etiological agents among patients.
Methods: Between 2015 and 2019, a total of 1807 patients suspected of superficial and cutaneous mycosis referring to the mycology laboratory of Shiraz medical school, Fars, Iran were evaluated. Specimens were taken from the patients' affected area, and clinical samples were examined by direct microscopy and culture. The epidemiological profile of the patients was collected.
Results: A total of 750 patients were confirmed with mycoses. Positive samples totaled 750 cases consisting of the nail (373/49.7%), skin (323/43%), head (47/6.26%), and mucosal membrane (4/0.5%). The yeasts group included 304 Candida spp. (70.3%), 123 Malassezia spp. (28.47%), and 5 Rhodotorula spp. (1.1%). The filamentous fungi were distributed as 34.8% dermatophytes and 7.5% non-dermatophyte. The clinical types of dermatophytosis were tinea unguium (110/261), tinea capitis (50/261), tinea pedis (48/261), tinea corporis (37/261), and tinea cruris (16/261). Non-dermatophyte molds included A. flavus 17, A. niger 4, Aspergillus spp. 15, Penicillium. 10, Fusarium 6, Mucor 2, Stemphylium 1, and Alternaria 1.
Conclusion: This study provides useful data for the study trends of superficial and cutaneous fungal infections in a specific area. The mycological data confirmed higher incidence of candidiasis (mainly onychomycosis) and dermatophytosis in patients affected by fungal pathogens, which helped to better understand the epidemiological aspects of these mycoses.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8274978 | PMC |
| http://dx.doi.org/10.1002/jcla.23850 | DOI Listing |
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