Studying the clinic mycological pattern of the dermatophytic infection attending OPD in tertiary care hospital in eastern Uttar Pradesh and Bihar

Authors

  • Anil Kumar Gupta Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India
  • Aayushi Mohan Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India
  • Santosh Kumar Singh Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India
  • Amit Kumar Pandey Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20180987

Keywords:

Dermatophytosis, Superficial mycoses, Tinea, Trichophyton spp, Microsporum spp

Abstract

Background: Superficial dermatophytic infection is infection of skin nail or hair with fungus. Nowadays, these fungal infection are at a rise and run a prolong course despite of treatment due to resistance to conventional antifungal agents. There is a felt need to conduct epidemiological study to know the change in the pattern and cause of widespread resistance. This study was aimed at identifying clinico-mycological pattern of dermatophytic infections in patients attending the dermatology outpatient department of a tertiary care hospital in eastern Uttar Pradesh and adjoining area.

Methods: Patients with suspected dermatophytoses attending the outpatient department were enrolled in the study. A detailed history, clinical examination and sample collection for mycological examinations was done.

Results: There were 500 patients recruited in the study, with a male: female ratio of 3:1. The most commonly affected age group was 20–30 years (35%). Tinea corporis et cruris was the most common type observed (31%). Potassium hydroxide positivity was seen in 390 samples (78%) and culture positivity was found in 350 samples (70%). The most common species identified was Trichophyton verrucosum (35.5%).

Conclusions: There is a rise in dermatophytic infection caused by zoophilic species like Trichophyton verrucousum.

Metrics

Metrics Loading ...

Author Biographies

Anil Kumar Gupta, Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India

ASSOCIATE PROFESSOR DEPARTMENT OF DERMATOLOGY, B.R.D. MEDICAL COLLEGE GORAKHPUR ,UTTAR PRADESH ,INDIA

Aayushi Mohan, Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India

THIRD YEAR JUNIOR RESIDENT DEPARTMENT OF DERMATOLOGY, B.R.D. MEDICAL COLLEGE GORAKHPUR ,UTTAR PRADESH ,INDIA

Santosh Kumar Singh, Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India

ASSOCIATE PROFESSOR DEPARTMENT OF DERMATOLOGY, B.R.D. MEDICAL COLLEGE GORAKHPUR ,UTTAR PRADESH ,INDIA

Amit Kumar Pandey, Department of Dermatology, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India

THIRD YEAR  JUNIOR RESIDENT ,DEPARTMENT OF DERMATOLOGY, B.R.D. MEDICAL COLLEGE GORAKHPUR ,UTTAR PRADESH

References

Patel P, Mulla S, Patel D, Shrimali GS. A Study of superficial mycosis in south Gujarat region. National J Community Med. 2010;1:85-8.

Singh S. Beena PM. Profile of Dermatophytes infection in Baroda. IJDVL. 2003;69:281-3.

Das K, Basak S, Ray S. A Study on Superficial fungal infection from west Bengal: A brief report. J Life Sci. 2009;1:51-5.

Grove S, Roy P. Clinico- mycological Profile of Superficial mycosis in a Hospital in North East India. MJAFI. 2003;59:114-9.

Bindu V. Clinico Mycological study of dermatophytosis in Calicut. IJDVL. 2002;68:259-61.

Gopi A, Harindranath D, Kaushik AR. Mycological profile of dermatophytes isolated from clinical samples in KIMS hospital, Bangalore. J Evol Med Dent Sci. 2015;4:835-42.

Patel P, Mulla S, Patel D, Shrimali G. A study of superficial mycosis in South Gujarat region. Natl J Community Med. 2010;1:85-8.

Sumana V, Singaracharya MA. Dermatophytosis in Khammam (Khammam district, Andhra Pradesh, India). Indian J Pathol Microbiol. 2004;47:287-9.

Kumar Y, Singh K, Kanodia S, Singh S, Yadav N. Clinico-epidemiological profile of superficial fungal infections in Rajasthan. MedPulse-Int Med J. 2015;2:139-43.

Kumar S, Mallya PS, Kumari P. Clinico-mycological study of dermatophytosis in a tertiary care hospital. Int J Sci Study. 2014;1:27-32.

Kamothi MN, Patel BP, Mehta SJ, Kikani KM, Pandhya JM. Prevalence of dermatophyte infection in district Rajkot. Electron J Pharmacol Ther. 2010;3:1-3.

Bindu V, Pavithran K. Clinico-mycological study of dermatophytosis in Calicut. Indian J Dermatol Venereol Leprol. 2002;68:259-61.

Sahai S, Mishra D. Change in spectrum of dermatophytes isolated from superficial mycoses cases: First report from Central India. Indian J Dermatol Venereol Leprol. 2011;77:335-6.

Prabhu SR, Shetty VH, Shetty NJ, Girish PN, Rao BP, Oommen RA, et al. Clinico-mycological study of superficial fungal infections in coastal Karnataka, India. J Evol Med Dent Sci. 2013;2:8638-46.

Asadi MA, Dehghani R, Sharif MR. Epidemiologic study of onychomycosis and tinea pedis in Kashan, Iran. Jundishapur J Microbiol. 2009;2:61-4.

Madhavi S, Rama Rao MV, Jyothsna K. Mycological study of dermatophytosis in rural population. Ann Biol Res. 2011;2:88-93.

Lyngdoh CJ, Lyngdoh WV, Chohury B, Sangma KA, Bora I, Khyriem AB. Clinico-mycological profile of dermatophytosis in Meghalaya. Int J Med Public Health. 2013;3:254-6.

Bhagra S, Ganju SA, Kanga A, Sharma NL, Guleria RC. Mycological pattern of dermatophytosis in and around shimla hills. Indian J Dermatol. 2014;59:268-70.

Sarma S, Borthakur AK. A clinico-epidemiological study of dermatophytoses in Northeast India. Indian J Dermatol Venereol Leprol. 2007;73:427-8.

Gupta S, Gupta BL. Evaluation of the incidences of dermatophillic infection in Rajasthan: Case studies from Rajasthan, India. Int J Med Med Sci. 2013;5:229-32.

Surekha A, Ramesh Kumar G, Sridevi K, Murty DS, Usha G, Bharathi G. Superficial dermatomycoses: A prospective clinicomycological study. J Clin Sci Res. 2015;4:7-15.

Jain N, Sharma M, Saxena VN. Clinico-mycological profile of dermatophytosis in Jaipur, Rajasthan. Indian J Dermatol Venereol Leprol. 2008;74:274-5.

Aggarwal A, Arora U, Khanna S. Clinical and mycological study of superficial mycoses in Amritsar. Indian J Dermatol. 2002;47:218-20.

Malik A, Fatima N, Khan PA. A clinico-mycological study of superficial mycoses from a tertiary care hospital of a North Indian town. Virol Mycol. 2014;3:135.

Sen SS, Rasul ES. Dermatophytosis in Assam. Indian J Med Microbiol 2006;24:77-8.

Sumana MN, Rajagopal V. A study of dermatophytes and their in-vitro antifungal sensitivity. Indian J Pathol Microbiol. 2002;45:169-72.

Garg J, Tilak R, Garg A, Prakash P, Gulati AK, Nath G. Rapid detection of dermatophytes from skin and hair. BMC Res Notes. 2009;2:60.

Levitt JO, Levitt BH, Akhavan A, Yanofsky H. The sensitivity and specificity of potassium hydroxide smear and fungal culture relative to clinical assessment in the evaluation of tinea pedis: A pooled analysis. Dermatol Res Pract. 2010;2010:764843.

Shenoy MM, Teerthanath S, Karnaker VK, Girisha BS, Krishna Prasad MS, Pinto J. Comparison of potassium hydroxide mount and mycological culture with histopathologic examination using periodic acid-Schiff staining of the nail clippings in the diagnosis of onychomycosis. Indian J Dermatol Venereol Leprol. 2008;74:226-9.

Ecemis T, Degerli K, Aktas E, Teker A, Ozbakkaloglu B. The necessity of culture for the diagnosis of tinea pedis. Am J Med Sci. 2006;331:88-90.

Bhatia VK, Sharma PC. Epidemiological studies on Dermatophytosis in human patients in Himachal Pradesh, India. Springerplus. 2014;3:134.

Kaviarasan PK, Jaisankar TJ, Thappa DM, Sujatha S Clinical variations in dermatophytes in HIV infected patients. Indian J Dermatol Venereol Leprol. 2002;68:213-6.

Ellabib MS, Khalifa ZM Dermatophytes and other Fungi Associated with skin mycosis in Tripoli. Libya.Ann Saud Med. 2001;21:193-6.

Hay RJ, Moore M, Champion RH, Burton JL, Burns DA, et al. Text book of dermatology 6th ed. Oxford Blackwell Science Ltd; 1998: 1277-1377.

Greer DL Evolving role of non dermatophytes in onchomycosis. Int J Dermatol. 1995;34:52-9.

Vinod S, Grover S, Dash K, Singh G. A clinico- Mycological evaluation of onchomycosis. Ind J Dermatol Venereol Leprol. 2000;66:238-40.

English MP. Nail and Fungi. Br J Dermatol. 1976;94:697-701.

Downloads

Published

2018-04-25

How to Cite

Gupta, A. K., Mohan, A., Singh, S. K., & Pandey, A. K. (2018). Studying the clinic mycological pattern of the dermatophytic infection attending OPD in tertiary care hospital in eastern Uttar Pradesh and Bihar. International Journal of Research in Dermatology, 4(2), 118–125. https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20180987

Issue

Section

Original Research Articles