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SAS Journal of Medicine | Volume-1 | Issue-04
Clinicomycological Profile of Dermatophytosis in a Tertiary Care Hospital in Western India
Ghadage Dnyaneshwari P, Muley Vrishali A, Bhore Arvind V
Published: Dec. 30, 2015 |
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158
DOI: 10.36347/sasjm.2015.v01i04.008
Pages: Page: 160-165
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Abstract
Dermatophytosis refers to superficial fungal infection of keratinized tissues, caused by dermatophytes.
Although common, the precise size of the problem defies measurement. The present study was aimed to assess the
clinicomycological profile of dermatophytosis, to identify the various infecting dermatophyte species and to compare
clinical diagnosis with KOH microscopy and culture. A total of 300 clinically diagnosed cases of dermatophytosis were
subjected to KOH microscopy and fungal culture. Most common clinical presentation observed was Tinea corporis
(42%) followed by Tinea cruris (28%). Mixed clinical type was observed in 3.3% of the patients. Including mixed
clinical types, a total of 310 clinical types were encountered. Out of 310 clinical types, 225 (72.6%) were positive on
KOH microscopy and 208 (67%) were positive on culture. Young males in the age group of 21 to 30 years were most
commonly affected. Trichophyton rubrum (59.6%) was the most common fungal isolate followed by T. mentagrophytes
(26%) and E. floccosum (10.6%). Dermatophytosis is not uncommon in our setup. Early diagnosis is essential to prevent
transmission of infection. Identification up to species level is necessary for epidemiological purpose and some
dermatophytes are resistant to azole derivatives.