Adult With Tinea Capitis: A Five-Year (2015-2019) Trend Study Among Patients Attending the Aristide Le Dantec University Hospital in Dakar, Senegal.

IF 3.1 2区 医学 Q1 DERMATOLOGY
Mycoses Pub Date : 2025-01-01 DOI:10.1111/myc.70030
Khadim Diongue, Mamadou Alpha Diallo, Abdoulaye Diop, Mame Cheikh Seck, Mouhamadou Ndiaye, Aïda Sadikh Badiane, Daouda Ndiaye
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Abstract

Background: Although tinea capitis (TC) is most commonly diagnosed in children, several studies have also shown that it is far from unusual in adults.

Objectives: To determine the frequency and risk factors of TC in adults in Dakar, Senegal.

Patients and methods: A cross-sectional study including all patients who visited the Parasitology and Mycology Lab at Aristide Le Dantec University Hospital for suspicion of TC was conducted from 1 January 2015 to 31 December 2019. The diagnosis was performed using conventional techniques.

Results: In sum, 458 adults were included. The majority (89%) were female. The patients' mean age was 35 ± 12 years (ranges: 18-84). Of the 458, 92 (20%) were confirmed with TC. The frequency trend, by year, showed a significant decrease ranging from 26.3% in 2015 to 19.2% in 2019. By sex, females (20.5%) were more affected than males (17.6%). According to age, the elderly present the highest infestation rate (36.4%). TC was diagnosed alone in 91.3%. T. soudanense (57.6%) was the most common species, followed by M. audouinii (34.8%).

Conclusion: TC is frequent among adults in Senegal, particularly in women, and the main causal agent is T. soudanense. Its duration seems to indicate a chronic form previously acquired between 1 and 10 years ago. Thus, early management will be essential to avoid epidemic proportions.

成人头癣:塞内加尔达喀尔阿里斯蒂德勒丹特克大学医院患者的五年(2015-2019)趋势研究
背景:虽然头癣(TC)最常见于儿童,但几项研究也表明,它在成人中并不罕见。目的:了解塞内加尔达喀尔地区成人TC发病频率及危险因素。患者和方法:在2015年1月1日至2019年12月31日期间,对所有前往阿里斯蒂德勒丹塔克大学医院寄生虫学和真菌学实验室疑似TC的患者进行了一项横断面研究。采用常规技术进行诊断。结果:共纳入458名成人。大多数(89%)是女性。患者平均年龄35±12岁(范围:18-84岁)。458例中,92例(20%)确诊为TC。从年度趋势来看,频率明显下降,从2015年的26.3%下降到2019年的19.2%。按性别划分,女性(20.5%)比男性(17.6%)受影响更大。按年龄分,老年人侵染率最高(36.4%)。单独诊断为TC的占91.3%。最常见的种为南方棘猴(57.6%),其次为audouinii棘猴(34.8%)。结论:TC在塞内加尔成人中较为常见,以女性居多,主要病原为苏达南锥虫。它的持续时间似乎表明是一到十年前的慢性疾病。因此,早期管理对于避免流行病的发生至关重要。
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来源期刊
Mycoses
Mycoses 医学-皮肤病学
CiteScore
10.00
自引率
8.20%
发文量
143
审稿时长
6-12 weeks
期刊介绍: The journal Mycoses provides an international forum for original papers in English on the pathogenesis, diagnosis, therapy, prophylaxis, and epidemiology of fungal infectious diseases in humans as well as on the biology of pathogenic fungi. Medical mycology as part of medical microbiology is advancing rapidly. Effective therapeutic strategies are already available in chemotherapy and are being further developed. Their application requires reliable laboratory diagnostic techniques, which, in turn, result from mycological basic research. Opportunistic mycoses vary greatly in their clinical and pathological symptoms, because the underlying disease of a patient at risk decisively determines their symptomatology and progress. The journal Mycoses is therefore of interest to scientists in fundamental mycological research, mycological laboratory diagnosticians and clinicians interested in fungal infections.
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