EPIDEMIOLOGY OF DERMATOMYCOSIS IN THE SUB - HIMALAYAN REGION OF WEST BENGAL, INDIA
English

Nibedita Haldar, Niladri Haldar, Mani Kumar Sharma, Goutam Dutta, Nihar Ranjan Haldar
2015 Journal of Evolution of Medical and Dental Sciences  
Dermatomycosis is the superficial infection of the keratinised tissues of the skin, hair and nail caused by various fungi including dermatophytes. This infection though trivial, has lot of psychological effect and requires effective treatment which is often costly. Numerous studies on clinico-mycological aspects of dermatomycosis have been conducted in different parts of India, but till now no reports are available on epidemiology of dermatomycosis from the Sub-Himalayan region of West Bengal.
more » ... ver a period of two years (January 2013-December 2014) skin and nail samples were collected from 502 patients with signs and symptoms of dermatomycosis attending Sharma's skin foundation at Siliguri. Majority of the patients 301(60%) were in the age group of 22-40 years. Males were more commonly affected than the females. The overall male to female ratio was 3: 1. Tinea corporis was the commonest presentation no: 321(64%). Direct microscopy of KOH mount, culture on Sabouraud dextrose agar (SDA) and identification of colony using Lactophenol cotton blue mount (LCB) has been done with all the specimens. Total no of skin and nail samples processed were 462(92%) and 40(8%) respectively. KOH mount was positive in 402(80%) of the total cases. In 80(16%) cases no fungal growth was found. Out of 422 culture positive cases Trichophyton (T) rubrum was the commonest fungi isolated 130(48.5%) followed by T mentagrophytes 54(20.1%). Other fungi isolated were Microsporum (M) gypseum 21(7.8%) T verrucosum 23(8.6%), T tonsurans 10(3.7%), T violaceum 18(6.7%), T schenlenii 4(1.5%), Epidermophyton floccosum 6(2.2%), Hortaea werneckii 1, M persicolor 1(0.4%), T terrestre 1(0.4%), Chrysosporium keratinophilum 1, Aspergillus 64, Candida 56, Penicillium 24, Mucor 7, Fusarium 1. Clinical response rate to oral Fluconazole was very less 53(20%), whereas the response rate to oral Terbenafine was high 214 (80%). Most of the patients responded very well to oral Itraconazole 254(95%).
doi:10.14260/jemds/2015/2245 fatcat:pz6zwa5zcngf5d3ticec2ag5hq