Clinical and epidemiological features of recent imported dermatophytoses in Spain
Abstract number: P1581
Enriquez A., Amor A., Toro C., Baquero M.
Objective: A changing pattern in dermatomycoses has been reported in Europe due to recent waves of immigrants from developing countries and a lesser extent increasing of native travellers to these areas. Data about dermatomycoses in these populations are useful to know the predominant species and clinical features to accomplish these infections. The aim of this study was to describe mycological, clinical and demographic characteristics in recent immigrants and travellers in our area.
Methods: A retrospective analyse was carried out in immigrant population from developing countries including adopted children, and native travellers between January 2000 to February 2007. Specimens were examined according to reference methods. Clinical and epidemiological data were also recorded.
Results: A total of 1344 specimens from superficial cutaneous lesions were examined. 271 yield positive results for fungal strains and in 154 of them dermatophytes were isolated corresponding to 146 patients, 103 adults and 43 children (under 14 years old). The majority of patients came from Subsaharian Africa (52%). Among the remain immigrants the origin was Asia (7.5%), Central and South America (6.9%) and Maghreb (1.4%). A substantial proportion of dermatomycoses were isolated from native travellers (28.1%). In 4.1% cases the nationality was unknown. These dermatophytoses were distributed in tinea corporis (72.7%), tinea capitis (15.6%) and tinea unguium (11.7%). The most common dermatophyte species isolated was Trichophyton rubrum (47.4%), followed by Trichophyton soudanense (17.5%), Trichophyton violaceum (13.6%), Microsporum audouini (7.1%), Trichophyton mentagrophytes (5.8%), Microsporum canis (4.6%), Epidermophyton floccosum (1.3%), Trichophyton rubrum var. granular (1.3%), Trichophyton tonsurans (0.7%), and Trichophyton verrucosum (0.7%). All tinea capitis were isolated in adopted children, most of them from Subsaharian Africa who carried antropophilic dermatophytes.
Conclusions: Antropophilic dermatophytes were frequent in immigrant population, specially in paediatric population from Subsaharian African countries. Of note, a remarkable proportion of native travelers were infected by dermatomycoses. Surveillance and proper treatment would be necessary in immigrant populations and travellers from developing countries to prevent spreading infections.
|Session name:||18th European Congress of Clinical Microbiology and Infectious Diseases|
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