Author/Authors :
HALVAEE, Samaneh Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , DAIE GHAZVINI, Roshanak Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , HASHEMI, Jamal Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , ZIBAFAR, Ensieh Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , YEKANINEJAD, Saeed Dept. of Epidemiology and Biostatistics - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , GERAMISHOAR, Mohsen Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , BAKHSHI, Heidar Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , MAHMOUDI, Shahram Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , KAMALI SARVESTANI, Hasti Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , YAGHOUBI, Razieh Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , HOSSEINPOUR, Leila Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran , BORJIAN, Zeinab Dept. of Medical Parasitology and Mycology - School of Public Health - Tehran University of Medical Sciences, Tehran, Iran
Abstract :
Background: Intertrigo is an erythematous inflammatory condition with multiple etiologies including fungi and bacteria. Intertrigo manifests in different clinical forms with various complaints. This study was conducted to evaluate the causative agents of intertriginous infections with emphasize on clinical presentations.
Methods: This descriptive cross-sectional study was carried out in 2015-2016, on 188 patients with clinical suspicion of superficial and cutaneous intertriginous infections in Tehran, Iran. Demographic and additional related data were obtained by questionnaire from all participants. Specimens were collected by gentle scraping of the affected areas. Direct examination and culture were performed for all specimens and grown colonies were identified based on the macroscopic and microscopic features. Supplementary tests were done whenever needed. Data were analyzed in SPSS.
Results: Overall, 80 (42.5%) cases with the mean age of 43.5 yr were confirmed for intertrigo. Dermatophyto-sis was the predominant cause in this study with 36 (45%) cases followed by erythrasma (28 cases, 35%), tinea versicolor (10 cases, 12.5%) and candidiasis (6 cases, 7.5%). Intertrigo lesions with dermatophytic agents signif-icantly were observed in groin in comparison to different infections among body sites (P<0.05). Itching was the most common clinical presentation (57cases, 71.3%) and also significant association between different in-fections and clinical manifestations were observed (P<0.05).
Conclusion: Different clinical manifestations may be observed in infectious intertrigo. Regarding the signifi-cant association observed in this study, some clinical features can be used for presumptive diagnosis of diseases but further studies are required to make it clear.
Keywords :
Intertrigo , Tinea , Candidiasis , Erythrasma , Signs and symptoms
