1. Dermatophytes in Skin, Nail and Hair among the Patients Attending Out Patient Department
- Author
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Jyotshna Sapkota, Manisha Sharma, Chandra Prakash Bhatt, Sabina Bhattarai, and Beena Jha
- Subjects
Adult ,Male ,Trychophyton ,medicine.medical_specialty ,Outpatient Clinics, Hospital ,Out patient department ,Trichophyton rubrum ,Teaching hospital ,Young Adult ,03 medical and health sciences ,Nepal ,Trichophyton ,Onychomycosis ,medicine ,Animals ,Dermatomycoses ,Humans ,Prospective Studies ,Epidermophyton ,Skin ,030304 developmental biology ,0303 health sciences ,Taenia ,biology ,030306 microbiology ,business.industry ,Arthrodermataceae ,General Medicine ,Middle Aged ,biology.organism_classification ,medicine.disease ,Dermatology ,Cross-Sectional Studies ,medicine.anatomical_structure ,Nails ,Nail (anatomy) ,Etiology ,Female ,Tinea capitis ,Hair Diseases ,business ,Hair - Abstract
Background: Dermatophytosis are the most common types of cutaneous fungal infection seen in human and animals affecting skin, hair and nails caused by dermatophytes. The diagnosis of dermatophytes is based on the clinical observation and laboratory diagnosis by direct microscopic examination and fungal cultures. The present study is undertaken to isolate different type of dermatophytes causing fungal infection.Methods: A prospective cross-sectional study design was used in a total of 90 clinically suspected cases of dermatophytic infection attending the out patient department of Kathmandu Medical College and Teaching hospital (KMCTH). Skin scraping, hair and nail samples were collected from the patients and were processed by direct microscopy and culture using standard protocol. Dermatophytes were identified based on the microscopic arrangement of microconidia and macroconidia.Results: Dermatophytosis was more common in the age group of 21-40 years and was more predominant among male with male to female ratio of 1.7: 1. Among the total clinically suspected cases of dermatophytosis, 53 were positive in direct microscopy and only a total of 20 were positive by culture. Most common clinical type observed in our study was Tinea corporis(25%) followed by Tinea cruris. Trichophyton rubrum(50%) was the commonest aetiological agent in majority of clinical types followed by Trychophyton mentagrophytes(35%). Conclusions: The study highlighted T. corporis followed by T. cruris and T. unguim as the most common clinical pattern of dermatophytosis with a male predominance and 21-40 years being the most affected age group. T. rubram was the most common aetiological agent causing dermatophytosis.Keywords: Dermatophytes; dermatophytosis; epidermophyton; tinea; trychophyton.
- Published
- 2019
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