Cutaneous fungal infections in subjects with diabetes mellitus
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20164412Keywords:
Candidiasis, Tinea versicolor, Dermatophytic infections, Cutaneous fungal infections, Diabetes mellitusAbstract
Background: Diabetes mellitus is a chronic non-communicable disease causing an increase in blood glucose levels due to an ineffectiveness or insufficiency of secreted insulin. Infections have also been shown to be the most common skin changes in diabetics. In our study we aim to assess the susceptibility of diabetics to various superficial fungal infections. We will study candidiasis, tinea versicolor and dermatophytic infections in diabetics.
Methods: 400 diabetic individuals who gave consent were chosen at random from the patients attending the OPD. They were subjected to thorough clinical evaluation. Routine hematological investigations were done. FBS, PPBS, and HBA1C were done to assess diabetic control. Fungal infections were confirmed by KOH mounts.
Results: Of the 400 subjects 220 were male and 180 were female. 52.5% of the subjects had some fungal infections. 55.2% of the fungal infections were candidiasis. 27.6% of the fungal infections were dermatophytic infections. 17.1% of the fungal infections were tinea versicolor infections.
Conclusions: The study has analysed the epidemiology of cutaneous fungal infections in diabetics. A little over half the diabetics studied proved to have cutaneous fungal infections. Candidiasis was the most frequent form of cutaneous fungal infections accounting for 57% of the fungal infections. Dermatophytic infections were seen in 28% of infections and pityriasis versicolor for 17% of the infections. This high prevalence of cutaneous fungal infections among diabetics merits systematic screening for the same among this target group.
Metrics
References
Kumar A, Goel MK, Jain RB, Khanna P, Chaudhary V. India towards diabetes control: Key issues. Australas Med J. 2013;6(10):524-31.
Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. Australas Med J. 2014;7(1):45-8.
Stoecklea M, Kaechb C, Trampuzb A, Zimmerlia W. The role of diabetes mellitus in patients with bloodstream infections. Swiss Med Wkly. 2008;138(35–36):512–9.
Ghosh K, Das K, Ghosh S, Chakraborty S, Jatua SK, Bhattacharya A, et al. Prevalence of Skin Changes in Diabetes Mellitus and its Correlation with Internal Diseases: A Single Center Observational Study. Indian J Dermatol. 2015;60(5):465-9.
Alba-Loureiro TC, Munhoz CD, Martins JO, Cerchiaro GA, Scavone C, Curi R, et al. Neutrophil function and metabolism in individuals with diabetes mellitus. Brazilian J Med Biol Res. 2007;40(8):1037-44.
Shahzad M, Al Robaee A, Al Shobaili HA, Alzolibani AA, Al Marshood AA, Al Moteri B. Skin Manifestations in Diabetic Patients Attending a Diabetic Clinic in the Qassim Region, Saudi Arabia. Med Princ Pract. 2011;20:137–41.
Mahajan S, Koranne RV, Sharma SK. Cutaneous manifestation of diabetes melitus. Indian J Dermatol Venereol Leprol. 2003;69:105-8.
Nigam PK, Pande S. Pattern of dermatoses in diabetics. Indian J Dermatol Venereol Leprol. 2003;69:83-5.
Pallavan B, Ramesh V, Dhanasekaran BP, Oza N, Indu S, Govindarajan V. Comparison and correlation of candidal colonization in diabetic patients and normal individuals. J Diab Metab Dis. 2014;13:66.
Suárez BL, Álvarez MI, de Bernal M, Collazos A. Candida species and other yeasts in the oral cavities of type 2 diabetic patients in Cali, Colombia. Colombia Médica : CM. 2013;44(1):26-30.
Gad ZM, Youssef N, Sherif AA, Hasab AA, Mahfouz AA, Hassan MN. An epidemiologic study of the fungal skin flora among the elderly in Alexandria. Epidemiol Infect. 1987;99(1):213-9.
Prasad PV, Priya K, Kaviarasan PK, Aanandhi C, Sarayu L. A study of chronic dermatophyte infection in a rural hospital. Indian J Dermatol Venereol Leprol. 2005;71:129-30.
Downloads
Published
How to Cite
Issue
Section
