A RETROSPECTIVE STUDY ON CLINICAL PATTERN OF DERMATOPHYTOSIS IN A TERTIARY CARE HOSPITAL, CHENNAI.

Dr. K. Divya Malar, Dr. P. Mohan, Dr. V. Sudha, Dr. Pragna B Dolia, Dr. N. Spandana Reddy

Abstract


BACKGROUND: Dermatophytes are one of the major causative organisms of superficial fungal infections.Dermatophytosis is the most common superficial fungal skin infection among patients attending a dermatology clinic.

AIM: To analyse the clinical presentation and demographic characteristics of patients with dermatophytosis.

METHOD: A retrospective analysis of the data was conducted among  the patients who attended Dermatology OPD in a Tertiary Care Hospital in Chennai  between May 2016 to April 2018.

RESULTS: A total of 1549 patients were diagnosed and treated for dermatophytosis among which  877 were males, 672 were females and among them 108 were children (less than 14 yrs of both sexes). 33.83 % of patients were in the age group of  21 – 30 years, followed by 22.60 % of patients in

11 – 20 years.Tinea corporis was seen in 56.48% of patients followed by Tinea cruris in 25.44 % of patients.

CONCLUSION:Tinea corporis was the most common clinical presentation followed by Tinea cruris.Prevalence rate of dermatophytosis is more among males than females, but the rate varies among various geographic regions. Elaborate studies are required in future regarding the epidemiology of the disease which play an equally important role to topical and systemic therapy in the management of the disease.


Keywords


Dermatophytes, organisms, fungal skin infection

Full Text:

PDF

References


Rengasamy M, Chellam J, Ganapati S. Systemic therapy of dermatophytosis: Practical and systematic approach. Clin Dermatol Rev 2017:1:S19-23.

Lakshmanan A, Ganeshkumar P, Mohan SR, Hemamalini M, Madhavan R, Epidemiological and clinical pattern of dermatomycoses in rural India. Indian J Med Microbiol 2015:33:S134-6.

Pathania S, Rudramurthy SM, Narang T, Saikia UN, Dogra S. A prospective study of the epidemiological and clinical patterns of recurrent dermatophytosis at a tertiary care hospital in India. Indian J Dermatol Venereol Leprol 2018:84:678-84.

Balakumar, S., Rajan, S., Thirunalasundari, T. and Jeeva, S., 2012. Epidemiology of dermatophytosis in and around Tiruchirapalli, Tamilnadu, India. Asian Pacific Journal of Tropical Disease, 2(4): 286-289.

Brigida S and Muthiah NS. Prevalence of Tinea Corporis and Tinea Cruris in Outpatient Department of Dermatology Unit of a Tertiary Care Hospital. J of Pharmacol & Clin Res. 2017 3(1):555602.

Pankaj s., Richa S., Mamta H. A Review on Superficial Fungal infections: Clinical symptoms and Treatment. World Journal of Pharmacy and Pharmaceutical Sciences. 2017 6(8), 646-658.

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

Madhavi S, Rama Rao MV, Jyothsna K. Mycological study of Dermatophytosis in rural population. Annals of Biological Research, 2011, 2 (3):88-93.

Mahajan S, Tilak R, Kaushal SK, Mishra RN, Pandey SS. Clinico-

mycological study of dermatophytic infections and their sensitivity to

antifungal drugs in a tertiary care centre. Indian J Dermatol Venereol Leprol

:83:436-40.

Bhavasar HK, Modi DJ, Sood NK, Shah HS (2012) A study of

superficial mycoses with clinical mycological profile in tertiary care hospital

in Ahamedabad, Gujarat. Natl J Med Res 2(2):160-164.

Grover WCS, Roy CP. Cinico-mycological Profile of Superficial Mycosis in a Hospital in North-East India. Medical Journal Armed Forces India 2003;59:2:114-6.

Venkatesan G, Ranjit Singh AJA, Murugesan AG, Janaki C, Gokul Shankar S. Trichophyton rubrum–the predominant etiological agent in human dermatophytosis in Chennai, India. Afr. J. Microbiol. Res.2007; 1(1): 9-12.

Kumar U , Chauhan MPS, Varma K, A clinicoepidemiological study in a tertiary care centre, Ujjain. Indian J Clin Exp Dermatol 2019;5(1):89-92.

Yousef E ., Asad B., Mehdi T., Zahra SR., Donya N., 2015. Epidemiology and prevalence of superficial fungal infections among dormitory students in Tehran , Iran. Journal of Mycology Research , 2(1): 49-54.

Guruprasad KY, Javed MW, Roopa C, Ansari H, Takalkar AA. Clinico-epidemiological study of dermatophytosis in teaching hospital of North Karnataka . Int J Res Dermatol 2019:5(1):1-4

Agarwal US, Saran J, Agarwal P. Clinico- mycological study of

dermatophytes in a tertiary care centre in northwest India. Indian J Dermatol

Venereol Leprol 2014;80:194.

Gandhi S,Patil S, Patil S, Badad A. Cinicoepidemiological study of

dermatophyte infections in paediatric age group at a tertiary hospital in

Karnataka. I ndian J Paediatr Dermatol 2019;20:52-6.

Verma , Madhu R. The great Indian epidemic of superficial

dermatophytosis: An appraisal. Indian J Dermatol 2017;62;227-36.

Alim A, Goel N, Chaudhary U. Spectrum of fungal infections at a

tertiary care hospital in Haryana, India. Int J Res Med Sci 2018;6:1398-401.

Manjunath shenoy M, Suchitra shenoy M.Superficial fungal infections.

In: S. Sacchidanand, Chetan oberai, Arun C Inamadir, editors. IADVL

textbook of Dermatology. 4th ed. Bhalani publishing House , Mumbai,

India;2015.p.460-61.

Roderick J. Hay and H. Ruth Ashbee. Fungal infections. In: Christopher

Griffiths, Jonathan Barker, Tanya Bleiker , Robert chalmers, Daniel

creamer, editors. Rook’s Textbook of Dermatology. 9th ed. WILEY

Blackwell;2016.p 32.22-32.23.


Refbacks

  • There are currently no refbacks.