Search

Introduction: The superficial mycoses remain a group of diseases of public health significance. The increased incidence of mycoses is related, among other factors, to deficiency of the immune system, coexisting systemic and dermatological diseases, long-term, non-target antibiotic therapy and the increase in the number of people at risk of immunosuppression. Objective: To analyze the etiology and epidemiology of mycosis in patients under 18 years of age in the years 2013-2016 diagnosed in the Unit of Medical Mycology at the Department of Dermatology, Poznan University of Medical Sciences. Material and methods: A retrospective, etiological and epidemiological analysis was performed on the incidence of superficial mycosis in 295 patients under 18 years of age diagnosed in the years 2013-2016 in the Unit of Medical Mycology at the Department of Dermatology, Poznan University of Medical Sciences. Results: The study group included mostly cases of dermatophytic superficial mycosis of the scalp with prevalent zoophilic species, including Microsporum canis as the most common. Conclusions: Superficial mycoses are common during childhood. Increased incidence of certain forms of superficial mycoses in children has been observed, for example infections transmitted from exotic animals or onychomycosis. [ABSTRACT FROM AUTHOR]

The paper describes a very rare case of a coexisting fungal infection caused by Trichophyton rubrum in a male patient working on a homestead and in a breeding animal - a pig. At first, the infection in the human patient was suggested to be a zoogenic glabrous skin mycosis. The patient was carefully interviewed and a careful dermatological examination was conducted. Additional tests including mycological test on material from patient's skin lesions and toenails as well as on material from infected animal's skin lesions. It allowed a proper diagnosis and identication of the pathogen as an antropophilic dermatophyte T. rubrum in both cases. Moreover, certain factors increasing the risk of fungal infection in patients working on farms and with close contact with homestead animals were taken into consideration. This study emphasises the importance of culture and a direct mycological test in proper diagnosis. What is more, it points out, that in case of a coexisting fungal infection in both a human and an animal a source of the pathogen is not always the animal. [ABSTRACT FROM AUTHOR]

Dermatophytes infection due to Trichophyton verrucosum are not frequent in Europe. A deep inflammatory infiltration is reported of the inframandibular part of the face of 25-year-old male stock farmer due to a zoophilic strain of Trichophyton verrucosum. The fungus was probably acquired from the bull of the patient. The patient developed a severe phlegmoneous inflammation of the bearded part of the face. During hospitalization id reactions like erythema nodosum, tarsal arthritis, and abdominal pain was observed. Ketoconazole in dose of 100 mg was introduced, subsequently fluconazole intravenously, leading to no significant clinical improvement. Afterwards the treatment with fluconazole was discontinued and terbinafine 250 mg once daily was employed. Furthermore was administred systemic antibiotics and external drugs. [ABSTRACT FROM AUTHOR]