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Category: Volume 07 Issue 12 December 2019
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Title: A Clinico-Epidemiological and Mycological Study of Dermatophytosis in a Tertiary Care Centre in Odisha

Authors: Venkatesh Mandava, Nishita Vumma

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.76

Abstract

Introduction: Dermatophytosis is a disease condition characterized by the infection of keratinized tissues such as epidermis, hair and nails. This condition is caused by a group of closely related filamentous fungi commonly known as Dermatophytes. Epidermophyton, Microsporum and Trichophyton are the genera of dermatophytes implicated in superficial mycoses.

Aims and Objectives: The present study has been taken to assess the epidemiological profile and the fungal species causing Dermatophytosis and to assess the clinical diagnosis with KOH smear positivity and culture positivity.

Methods: In a total of 380 clinically diagnosed cases of Dermatophytosis, specimens (scales, hair, nail clippings) were collected. This material was subjected to Direct Microscopy with KOH and culture test.

Results: Tinea corporis was the most common clinical type (46.1%) followed by Tinea cruris (25.5%). Most of the patients were in the age group of 21-30 years (37.4%) followed by 31-40 years and males were commonly affected than females with a ratio of 1.79:1. Majority of patients were Active workers by occupation (40%) belonging to lower socioeconomic status (73.4%). Overall positivity by culture was 60.5%and by Direct Microscopy (KOH) was 71.6%. Trichophyton mentagrophyte was the predominant species isolated (36.3%) followed by Trichophyton rubrum (18.2%).

Conclusion: Dermatophytosis are infections seen commonly in people who work in hot and humid conditions and those who indulge in strenous work. Clothing patterns and personal hygiene also play an important role. By taking proper precautionary measures the incidence and disease burden can be minimized.

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Corresponding Author

Venkatesh Mandava

Post Graduate, Department of Dermatology, Kalinga Institute of Medical Sciences, Bhubaneshwar, Odisha