头癣117例临床分析

The Clinical Characteristics and Pathogens of 117 Cases of Tinea Capitis

目的了解南昌地区头癣临床特点及病原菌构成情况。方法收集本院真菌科真菌直接镜检阳性头癣患者,记录其临床特点,并收集病发进行真菌培养和病原菌鉴定,包括菌种。结果共收集117例头癣患者,主要由未成年人组成(≤18岁者103例)。临床类型以黑点癣为主,81例,其次为:脓癣28例,白癣5例,黄癣3例。病原菌构成:紫色毛癣菌68株,须癣毛癣菌17株,断发毛癣菌17株,红色毛癣菌9株,许兰毛癣菌3株,石膏样小孢子菌1株,羊毛状小孢子菌1株,光滑念珠菌1株。结论南昌地区头癣以儿童多见,临床多表现为黑点癣,致病优势菌为毛癣菌属,存在地区差异。

Objective To profile the clinical characteristics and pathogen of Tinea capitis in Nanchang area. Methods The study was conducted among patients who were sent to our mycology laboratory with tinea capitis, and those who had positive microspy and cultures were collected. Clinical data were recorded, the infected hairs which were collected form fungal culture and pathogen spieces wele identified. Results A total of 117 cases were recruited ,which consisted mainly of children （103 cases younger than 18 years old）. The black dot ringworm was the predominant clinical types with 81 cases, followed by tinea kerion 28, tinea alba 5 and fa- vus 3. Among the 117 examples, 68 strains of Trichophyton violaceum were isolated , meanwhile 17 Tricho- phyton mentagrophytes, 17 Trichophyton tonsurans, 9 Trichophyton rubrum, 3 Trichophyton schoenleini, 1 Microsporum grpseum, 1 Microsporum canis and 1 Candida glabrata followed. Conclusion The main object of tinea capitis in Nanchang area is childen. And the most common clinical type is black dot, while the predominant pathogen is trichophyton genus. Ihe epidemic condition is different from other regions.