摘要
目的了解昆明地区儿童浅部真菌病的流行及病原菌的分布特点。方法对该科门诊拟诊为浅部真菌病患儿(年龄≤14岁)行真菌镜检、培养及分离鉴定。结果 2176例拟诊为浅部真菌病患儿中,真菌直接镜检阳性1477例,阳性率67.88%,培养分离出真菌1226株,阳性率56.34%。镜检阳性和(或)培养阳性的1646例标本中,头癣、体癣、足癣发病例数居前3位,分别为640例(38.88%)、472例(28.68%)和181例(11.00%),余依次为花斑癣103例(6.26%)、甲真菌病98例(5.95%)、手癣50例(3.04%)、股癣41例(2.49%)、皮肤念珠菌病40例(2.43%)、马拉色菌毛囊炎21例(1.28%)。分离的1226株致病菌株中前3位是犬小孢子菌(26.26%)、铁锈色小孢子菌(26.26%)和红色毛癣菌(18.11%)。结论昆明地区儿童浅部真菌病中头癣居首位,致病菌以犬小孢子菌、铁锈色小孢子菌、红色毛癣菌为主。
To investigate the prevalence and pathogenic fungi species of dermatomyeoses in children in Kunming region. Methods The specimens from patients （aged ≤14 years old） suspected of having derma- tomycoses were examined microscopically in KOH preparations and cultured on Sabouraud dextrose agar （SDA）. Results Among 2176 suspected cases, 1477 cases （67. 88% ） had positive result, 1226 strains （56.34%） pathogenic fungi were isolated. The diseases were consisted of tinea capitis（38.88% ）, tinea corporis（28.68% ）, tinea pedis （ 11.0% ）, pityriasis versicolor （6.26%）, onychomycosis （ 5.95% ）, tinea manus（3.04% ） ,tinea cruris（2.49% ）, cutaneous candidiasis（2.43% ） ,malassezia folliculitis （1.28%）. The top three of the isolated pathogenic fungi are Microsporum canis （26. 26% ）, Grubyella ferruginea （26. 26% ） and Trichophyton rubrum （18. 11% ）. Conclusion In Kunming district,tinea capitis is of the hightest prevalence in children, and Microsporum canis, Grubyella ferruginea and Trichophyton rubrum is the common pathogenic fungi.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2012年第8期698-699,共2页
The Chinese Journal of Dermatovenereology
关键词
儿童
浅部真菌病
昆明
Children
Superficial mycoses
Kunming
