CC BY-NC-ND 4.0 · J Lab Physicians 2020; 12(01): 10-14
DOI: 10.1055/s-0040-1713063
Original Article

Current Trends of Dermatophytosis in Eastern Odisha

Swati Jain
1   Department of Microbiology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
,
Sunita Kabi
1   Department of Microbiology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
,
Bichitrananda Swain
2   Department of Microbiology, SLN Medical College and Hospital, Koraput, Odisha, India
› Author Affiliations

Abstract

Background Dermatophytes are fungi parasitizing structures rich in keratin such as skin, hair, and nail, which leads to a dermal inflammatory response with intense itching and cosmetic disfigurement. The climatic condition of eastern India is predominantly hot and humid with severe rainfalls promoting fungal infection. This study was performed to determine the prevalence of dermatophytosis and to isolate and identify the dermatophyte from clinically suspected cases attending tertiary care center.

Methodology This study was conducted from April 2018 to March 2019 and a total of 1,200 samples were included. Skin scrapings were collected and examined microscopically using 10% potassium hydroxide (KOH) mount. Culture was performed using Sabouraud dextrose agar and dermatophyte test medium. Speciation was done based on macroscopic and microscopic findings using lactophenol cotton blue staining and some special tests like urease test and slide culture.

Results Of 1,200 cases, tinea corporis was the most common clinical presentation. Direct KOH positivity was 89.4% and culture positivity was 61.75%. Trichophyton mentagrophyte (77.5%) was the most common dermatophyte isolated followed by Trichophyton rubrum (13.3%).

Conclusion Dermatophytic infections are not serious but their propensity to persist leading to chronicity and disfigurement may have personal and social implications.



Publication History

Article published online:
11 June 2020

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  • References

  • 1 Bhatia VK, Sharma PC. Epidemiological studies on dermatophytosis in human patients in Himachal Pradesh, India. Springerplus 2014; 3: 134
  • 2 Kaufman G, Berdicevsky I, Woodfolk JA, Horwitz BA. Markers for host-induced gene expression in Trichophyton dermatophytosis. Infect Immun 2005; 73 (10) 6584-6590
  • 3 Ménan EI, Zongo-Bonou O, Rouet F. et al. Tinea capitis in schoolchildren from lvory Coast (western Africa). A 1998-1999 cross-sectional study. Int J Dermatol 2002; 41 (04) 204-207
  • 4 Sharma S, Borthakur AK. A clinico-epidemiological study of dermatophytosis in north east India. Indian J Dermatol Venerol Leprol 2007; 73: 427-428
  • 5 Peerapur BV, Inamdar AC, Pushpa PV, Srikant B. Clinicomyco‑ logical study of dermatophytosis in Bijapur. Indian J Med Microbiol 2004; 22 (04) 273-274
  • 6 Verma S, Heffernan MP. Superficial fungal infection: dermatophytosis, onychomycosis, tinea nigra, piedra. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, eds. Fitzpatrick’s Dermatology in General Medicine. Philadelphia, PA: McGraw Hill Professional 2008: 1807-1831
  • 7 Maulingkar SV, Pinto MJ, Rodrigues S. A clinico-mycological study of dermatophytoses in Goa, India. Mycopathologia 2014; 178 (3-4) 297-301
  • 8 Balakumar S, Rajan S, Thirunalasundari T, Jeeva S. Epidemiology of dermatophytosis in and around Tiruchirapalli, Tamil Nadu, India. Asian Pac J Trop Dis 2012; 2 (04) 286-289
  • 9 Clarissa LJ, Valarie LW, Basabdatta C, Sangma KA, Bora I, Khyriem AB. Clinico-mycological profile of dermatophytosis in Meghalaya. Int J Med Public Health 2013; 3: 254-256
  • 10 Ardeshna KP, Rohatgi S, Jerajani HR. Successful treatment of recurrent dermatophytosis with isotretinoin and itraconazole. Indian J Dermatol Venereol Leprol 2016; 82 (05) 579-582
  • 11 Sharma M, Sharma R, Singh PC, Mishra BC. Profile of dermatophytic and other fungal infections in Jaipur. Indian J Microbiol 2012; 52 (02) 270-274
  • 12 Jain N, Sharma M, Saxena VN. Clinico-mycological profile of dermatophytosis in Jaipur, Rajasthan. Indian J Dermatol Venereol Leprol 2008; 74 (03) 274-275
  • 13 Negi N, Tripathi V, Choudhury RC, Bist JS, Kumari N, Chandola I. Clinicomycological profile of superficial fungal infections caused by dermatophytes in a tertiary care centre of North India. Int J Curr Microbiol Appl Sci 2017; 6 (08) 3220-3227
  • 14 Sharma R, Adhikari L, Sharma RL. Recurrent dermatophytosis: a rising problem in Sikkim, a Himalayan state of India. Indian J Pathol Microbiol 2017; 60 (04) 541-545