广州地区70例儿童头癣病原学分析

中国真菌学杂志　 2014, Vol. 9 　Issue (3): 155-158,166.

广州地区70例儿童头癣病原学分析

李美荣, 尹颂超, 黄怀球, 叶聪秀, 赖维

中山大学附属第三医院皮肤性病科, 广州 510630

收稿日期:2013-10-23 出版日期:2014-06-28 发布日期:2014-06-28
通讯作者: 赖维，E-mail：drlaiwei@163.com E-mail:drlaiwei@163.com
作者简介:李美荣，女（汉族），本科，技师.E-mail：flyg66@163.com

An analysis of clinical pathogens in 70 infant cases of tinea capitis

LI Mei-rong, YIN Song-chao, HUANG Huai-qiu, YE Cong-xiu, LAI Wei

Department of Dermatoloty, the Third Hospital, Sun Yat-sen University, Guangzhou 510630

Received:2013-10-23 Online:2014-06-28 Published:2014-06-28

摘要/Abstract

摘要：

目的了解6 a来广州地区头癣类型及病原菌分布特点。方法采用病例回顾性分析，对2007年7月~2013年9月来广州市中山大学附属第三医院皮肤科门诊就诊的头癣患儿（平均为6.0±3.6岁）真菌直接镜检、培养及分离鉴定的结果进行分析。结果 70例头癣患儿真菌镜检阳性为69例，阳性率为99%，真菌培养阳性为47例，阳性率为81%。白癣为52例，占74%。病原菌包括犬小孢子菌19例（40%）、须癣毛癣菌13例（28%）、紫色毛癣菌5例（11%），石膏样小孢子菌3例（6%），其他病原菌为7例（15%）。其中，4~7岁的头癣患儿为35例，占50%。结论儿童头癣的主要临床类型为白癣。致病菌以亲动物性犬小孢子菌为主。患儿的主要年龄段为4~7岁。

关键词: 儿童, 头癣, 真菌, 癣菌种类

Abstract:

Objective To investigate the clinical features of tinea capitis in Guangzhou region.Methods A retrospective analysis of children with tinea capitis was conducted at Outpatient Department of Dermatology, third Affiliated Hospital of Sun Yat-sen University, Guangzhou (July, 2007-September 2013). The patients had a mean age of 6.0 (±3.6) years. Pathogens were determined by direct microscopic examination and fungal culture.Results Among 70 cases of clinically diagnosed patients with tinea capitis, 69 cases were positive for microscopic examination (99%) and 47 cases were positive for fungal culture (81%), 52 cases are Tinea alba (74%). The pathogenic stains mainly include 19 strains of Microsporum canis (40%), 13 strains of Trichophyton mentagrophytes (28%), 5 strains of Trichophyton violaceum (11%), 3 strains of Microsporum gypseum (6%). Other causative pathogens were found in 8 cases (15%). Among them, 4-7-year-old children with tinea capitis account for 50% (35/70).Conclusion Tinea alba is the main clinical type of tinea capitis in Guangzhou area.Microsporum canis was the most frequent causative pathogen. The main age rang of cases is 4-7 years old.

Key words: children, tinea capitis, fungus, fermatophytes species

中图分类号:

R756.1

李美荣, 尹颂超, 黄怀球, 叶聪秀, 赖维. 广州地区70例儿童头癣病原学分析[J]. 中国真菌学杂志, 2014, 9(3): 155-158,166.

LI Mei-rong, YIN Song-chao, HUANG Huai-qiu, YE Cong-xiu, LAI Wei. An analysis of clinical pathogens in 70 infant cases of tinea capitis[J]. Chinese Journal of Mycology, 2014, 9(3): 155-158,166.

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