2003, Number 2
<< Back Next >>
Gac Med Mex 2003; 139 (2)
Mycosis Frequency in Three Northern Sierra Communities in Puebla State, Mexico.
Méndez LJ-Tovar, Lemini-López A, Hernández-Hernández F, Manzano GP, Blancas-Espinosa R, López-Martínez R
Language: Spanish
References: 17
Page: 118-122
PDF size: 55.65 Kb.
ABSTRACT
In order to know mycosis frequency in the North of the State of Puebla, Mexico, in habitants from the communities of Ayotoxco, Mazatepec and Zacatipan were studied. Previous medical study biological samples were submitted to direct examination, smear and culture. Histoplasmin and sporotrichin skin test were applied to 57 individual from Zacatipan.
From 110 patients 146 mycological studies were performed. Eighty six cases (59%) of mycosis were detected: 43 finger or toenails onychomycosis, 25 tinea pedis, seven tinea capitis, four cases of tinea manum and, finally, five cases of seborrhoeic dermatitis and two of pitiriasis versicolor.
We isolated: 18 streins of dermatophytes, mainly Trichophyton rubrum and T. mentagrophytes (11 and 5 strains respectively); 12 cultures of non-dermatophytes filamentous fungi; six cases of mycelia sterile; six yeast strains, most of them Candida spp but none C. albicans.
From 57 patients to whom skin tests were applied, five of them (8.8%) were positive to both antigens; ten positive (17.6%) only to histoplasmin and eight (14%) to sporotrichin.
This study showed that rural population from Puebla present a high frequency of superficial mycosis (61% of mycological studies). Considering the percentage of positive skin test we suppose that there are many not diagnosed sporotrichosis and histoplasmosis cases.
REFERENCES
1. Stern RS. The epidemiology of cutaneous disease. En: Dermatology in general medicine. Editors. Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM, Auten KF. McGraw-Hill Inc 40 ed. USA 1993. p. 7-13.
2. Arenas R, Bonifaz A, López Martínez R, y cols. Dermatofitosis en: Revisión del Primer Consenso Nacional de Prevención, Diagnóstico y Tratamiento de Micosis Superficiales. UNAM; 2001. p. 11-25.
3. Macotela-Ruiz E. Dermatología en un medio rural. Gac Med Mex 1995;31:44-48.
4. Estrada-Castañon R, Torres-Bibiano B, Alarcón-Hernández H, y cols. Epidemiología cutánea en dos sectores de atención médica en Guerrero, México. Dermatología Rev Mex 1992;1:29-34.
5. Macotela-Ruiz E. Problemas de micología en el medio rural. Memorias III Diplomado en Micología Médica. "Dr. Francois Mariat" Ed. Facultad de Medicina, UNAM. México 2000.p. 88-89.
6. Elwsky BE. Onychomycosis caused by Scytalidium dimidiatum. J Am Acad Dermatol 1996;35:336-338.
7. Ghannoum MA, Hajjeh RA, Scher R, y cols. A large scale North American study of fungal isolates from nails: the frequency of onychomycosis, fungal distribution, and antifungal susceptibility patterns. J Am Acad Dermatol 2000;43:641-8.
8. Tosti A, Piraccini BA, Lorenzi S. Onychomycosis caused by non dermatophytic molds: Clinical features and response to treatment of 59 cases. J Am Acad Dermatol 2000;42:217-24.
9. Romano C, Valcuti L, Difanzo EM. Two cases of tinea pedis caused by Scytalidium hyalinum J Eur Acad Dermatol Venerol 1999;12:38-42.
Little MG. Scytalidium dimidiatum in Australia. Australas J Dermatol 1995;36:204-5.
Costa AR. Interdigital cutaneous phaeohyphomycosis due to Scytalidim lignicola Pasante1957. A case report. Mycosis 1988;31:604-12.
Wilson LA, Ajello L. Agents of oculomycosis: fungal infections of the eye. En: Microbiology and Microbial Infections Vol IV, Medical Mycology. Ajello L, Hay R, (eds.) Arnold, New York, USA, 2000, 90 ed. p. 525-567.
Kwon-Chung KJ, Bennett JE. Dermatophytoses. En: Medical Mycology. Lea & Febiger, 1ª. edición Philadelphia USA, 1994.p. 105-161.
González-Ochoa A, Rico E, Velazco O, López R, Navarrete F. Valoración comparativa de los antígenos polisacarídico y celular de Sporothrix schenckii. Rev Invest Salud Pub 1970;30:303-315.
Toriello C, Arjona-Rosado C, Díaz-Gómez ML, Taylor ML. Efficiency of crude and purified fungal antigens in serodiagnosis to discriminate mycotic infection from other respiratory diseases. Mycoses 1991;134:133-40.
Levine HB, González-Ochoa A. Dermal sensitivity to Coccidioides immitis: a comparison of response elicited by spherulin and coccidioidin. Am Rev Resp Dis 1973;106:379-386.
González-Ochoa A, Cervantes A. Histoplasmosis epidémica y su prevención. Rev Inst Salubr Enferm Trop 1960;20:129-145.