Author/Authors :
Hedayati ، Mohammad T. Department of Medical Mycology - Invasive Fungi Research Centre (IFRC), Communicable Diseases Institute, School of Medicine - Mazandaran University of Medical Sciences , Kermani ، Firoozeh Department of Medical Mycology - Invasive Fungi Research Centre (IFRC), Communicable Diseases Institute, School of Medicine - Mazandaran University of Medical Sciences , Javidnia ، Javad Department of Medical Mycology - Invasive Fungi Research Centre (IFRC), Communicable Diseases Institute, School of Medicine - Mazandaran University of Medical Sciences , Moosazadeh ، Mahmood Health Science Research Center, Addiction Institute, Student Research Committee - Mazandaran University of Medical Sciences , Nosratabadi ، Mohsen Department of Medical Mycology - School of Medicine, Student Research Committee - Mazandaran University of Medical Sciences , Salimi ، Maryam Department of Medical Mycology - School of Medicine, Student Research Committee - Mazandaran University of Medical Sciences , asadi ، sabrieh Department of Medical Mycology - School of Medicine, Student Research Committee - Mazandaran University of Medical Sciences , Mosayebi ، Elham Department of Medical Mycology - School of Medicine - Mazandaran University of Medical Sciences , Hajheydari ، Zohreh Department of Dermatology - School of Medicine, Sari Bu Ali Sina Hospital - Mazandaran University of Medical Sciences , Golpour ، Masoud Department of Dermatology - School of Medicine, Sari Bu Ali Sina Hospital - Mazandaran University of Medical Sciences , Rahmatpour Rokni ، Ghasem Department of Dermatology - School of Medicine, Sari Bu Ali Sina Hospital - Mazandaran University of Medical Sciences , Kazemi Nejad ، Armaghan Department of Dermatology - School of Medicine, Sari Bu Ali Sina Hospital - Mazandaran University of Medical Sciences , Shokohi ، Tahereh Department of Medical Mycology - Invasive Fungi Research Centre (IFRC), Communicable Diseases Institute, School of Medicine - Mazandaran University of Medical Sciences , Bongomin ، Felix Department of Medical Microbiology and Immunology - Faculty of Medicine - Gulu University
Abstract :
Background and purpose: Among different clinical entities of dermatophytosis, tinea capitis (TC) is considered a major public health challenge in the world, especially in regions with poor health and low income. Therefore, this study aimed to provide a retrospective analysis of the patients suspected of TC who were referred to the medical mycology laboratory of Mazandaran, a northern province of Iran.Materials and Methods: A retrospective analysis was performed on the patients suspected of TC who were referred to the medical mycology laboratory from July 2009 to April 2022. Hair roots and skin scrapings were collected from the participants. The laboratory diagnosis was confirmed by direct microscopic examination and culture. Finally, 921 out of 11095 (8.3%) patients were suspected of TC.Results: Based on the findings, TC was confirmed in 209 out of 921 patients (22.7%). In terms of gender, 209 TC patients (75.1%) were male. Moreover, the male to female ratio of TC patients was 1:3.0. Trichophyton tonsurans (146/174, 83.91%) was the most etiological agent,followed by T. mentagrophytes (13/174, 7.47%), T. violaceum (9/174, 5.17%), Microsporum canis (3/174, 1.71%), T. verrucosum (2/174, 1.15%) and T. rubrum (1/174, 0.57%). Besides, endothrix (77.0%) was the most prevalent type of hair invasion.Conclusion: The results revealed the predominance of T. tonsurans, as a causative agent of TC. Despite the prevalence of TC, the absence of appropriate consideration highlights that it is a neglected complication among children.
Keywords :
Iran , Prevalence , Tinea capitis , Trichophyton tonsurans
