Konya Selçuk Üniversitesi Hastanesi’ne Başvuran Hastalarda Saptanan Dermatofitler
Yükleniyor...
Dosyalar
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Dermatoloji kliniklerine başvuranların önemli bir kısmını dermatofit enfeksiyonu olan hastalar oluşturmaktadır. Dermotofitozlar pekçok hastalığın klinik tablosunu taklit etmektedir. Dermatofitoz etkenlerinin saptanması, korunma ve tedavide yol gösterici olduğu gibi epidemiyolojik çalışmalar için de önemlidir. Bu çalışmada, 01.06.2010 ve 01.06.2019 tarihleri arasında dermotofitoz şüpheli hastalardan alınan örnekler incelenerek, izole edilen dermatofitlerin sıklığı belirlenmiştir ve ayrıca klinik tanı ile laboratuvar tanısı arasındaki uyumun değerlendirilmesi amaçlanmıştır. Dermatofitoz şüpheli hastalardan alınan kıl, deri ve tırnak örnekleri incelenmiştir. Direkt mikroskobik inceleme amacıyla % 10 KOH ile hazırlanan preparatlar hazırlanmıştır. Kültür istemi olan örneklerin ise Sabouraud Dekstroz Agara çift plak ekimleri yapılmıştır. Direkt mikroskobik inceleme yapılan 4993 örnekten 1800’ü (% 36) pozitif olarak bulunmuştur. Kültür sonuçları incelendiğinde; Trichophyton rubrum (Castell.) Sabour. (% 78) en sık izole edilen dermatofit etkeni olup bunu sırasıyla T. tonsurans (% 7.6), T. mentagrophytes (% 3.8), T. verrucosum (% 3.8), Microsporum canis (% 3) ve M. gypseum ( E.Bodin) Guiart&Grigoraki (% 2.3) izlemiştir. Çalışmamızın sonuçlarına göre; direkt mikroskopi sonuçlarıyla klinik tanı arasında % 50.3; kültür sonuçlarıyla klinik tanı arasında ise % 63.6 oranında bir uyum tespit edilmiştir. Bu veriler doğrultusunda, dermatofitoz tanısı için klinik değerlendirmenin yanı sıra, direkt mikroskopik inceleme ve kültür yönteminin yapılmasının yararlı olacağı düşünülmüştür.
Dermatophyte infection constitutes a significant proportion of patients admitted to dermatology clinics. Dermotophytosis mimics the clinical picture of many diseases. Detection of dermatophytosis agents is important for prevention and treatment as well as for epidemiological studies. In this study, samples taken from patients suspected of dermotophytosis between 01.06.2010 and 01.06.2019 were examined and the frequency of isolated dermatophytes was determined and it was aimed to evaluate the agreement between clinical diagnosis and laboratory diagnosis. Hair, skin and nail samples taken from patients suspected of dermatophytosis were examined. Preparations with 10 % KOH were prepared for direct microscopic examination. Sabouraud Dextrose Agara double plate cultivation was performed for the samples that were cultured. Under direct microscopic examination 1800 (36 %) of the 4993 samples were found to be positive. When the results of the cultures were examined; Trichophyton rubrum (Castell.) Sabour. (78 %) was the most commonly isolated dermatophyte agent and Trichophyton rubrum was followed by T. tonsurans (7.6 %), T. mentagrophytes (3.8 %), T. verrucosum (3.8 %), Microsporum canis (3 %) and M. gypseum ( E.Bodin) Guiart&Grigoraki (2.3 %) respectively. According to our results, the concordance between direct microscopy results and clinical diagnosis were 50.3 %; however, there was a 63.6 % concordance between culture results and clinical diagnosis. In line with these data, it is considered that clinical microscopic examination and culture method should be performed in addition to clinical evaluation for the diagnosis of dermatophytosis
Dermatophyte infection constitutes a significant proportion of patients admitted to dermatology clinics. Dermotophytosis mimics the clinical picture of many diseases. Detection of dermatophytosis agents is important for prevention and treatment as well as for epidemiological studies. In this study, samples taken from patients suspected of dermotophytosis between 01.06.2010 and 01.06.2019 were examined and the frequency of isolated dermatophytes was determined and it was aimed to evaluate the agreement between clinical diagnosis and laboratory diagnosis. Hair, skin and nail samples taken from patients suspected of dermatophytosis were examined. Preparations with 10 % KOH were prepared for direct microscopic examination. Sabouraud Dextrose Agara double plate cultivation was performed for the samples that were cultured. Under direct microscopic examination 1800 (36 %) of the 4993 samples were found to be positive. When the results of the cultures were examined; Trichophyton rubrum (Castell.) Sabour. (78 %) was the most commonly isolated dermatophyte agent and Trichophyton rubrum was followed by T. tonsurans (7.6 %), T. mentagrophytes (3.8 %), T. verrucosum (3.8 %), Microsporum canis (3 %) and M. gypseum ( E.Bodin) Guiart&Grigoraki (2.3 %) respectively. According to our results, the concordance between direct microscopy results and clinical diagnosis were 50.3 %; however, there was a 63.6 % concordance between culture results and clinical diagnosis. In line with these data, it is considered that clinical microscopic examination and culture method should be performed in addition to clinical evaluation for the diagnosis of dermatophytosis
Açıklama
Anahtar Kelimeler
Dermatofit, Dermatofitozis, Epidermophyton, Microsporum, Trichophyton, Dermatophyte, Dermatophytosis
Kaynak
Mantar Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
3
Künye
Eryılmaz, E., Samadzade, R., Maçin, S., Fındık, D., (2019). Konya Selçuk Üniversitesi Hastanesi’ne Başvuran Hastalarda
Saptanan Dermatofitler. Mantar Dergisi, 10, (3), 84-88. Doi:10.30708.mantar.644060
