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2021, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2021; 19 (3)

Interdigital intertrigo: a study of 38 cases at a general hospital

Alvarado BAM, Castillo RJM, Vega SDC, Juárez-Durán ÉR, Arenas R
Full text How to cite this article

Language: Spanish
References: 19
Page: 241-244
PDF size: 114.46 Kb.


Key words:

tinea pedis, hyperhidrosis, Trichophyton rubrum, Candida spp.

ABSTRACT

Background: tinea pedis is a common superficial mycosis, mainly caused by Trichophyton rubrum. The interdigital form is the most frequent clinical variety
Objective: to determine the etiology and frequency of interdigital intertrigo in the Mycology Section at Dr. Manuel Gea González General Hospital.
Methodology: retrospective, observational, descriptive and cross-sectional study. From January 2015 to August 2020, 38 samples were collected from patients diagnosed with tinea pedis in the Mycology Section, they underwent direct examination with koh/chlorazol black and were subsequently cultivated in a Sabouraud agar plus antibiotics.
Results:We observed predominance in females, and most cases were associated to humidity or hyperhidrosis. The etiological agents isolated in 14 patients with positive culture were: Trichophyton rubrum in nine (64.28%), Candida sp. in four (28.57%) and Epidermophyton floccosum in one (7.14%). In addition, four cases with negative cultures were positive to Wood’s light, showing a red-coral fluorescence, therefore erythrasma was confirmed.
Conclusions: the interdigital variety of tinea pedis is common in medical practice. It is recommended to confirm the diagnosis by performing direct examination, culture, Wood’s light and Gram’s smear.


REFERENCES

  1. Arenas R, Dermatología: atlas, diagnóstico y tratamiento, 7ª ed., México, McGraw-Hill, 2019, pp. 504-17.

  2. Mercer DK y Stewart CS, Keratin hydrolysis by dermatophytes, Med Mycol 2019; 57(1):13-22.

  3. Arenas R, Micología médica ilustrada, 5ª ed., México, McGraw-Hill, 2021, pp. 67-98.

  4. Diongue K, Ndiaye M, Diallo MA, Seck MC, Badiane AS, Diop A et al., Fungal interdigital tinea pedis in Dakar (Senegal), J Mycol Med 2016; 26(4):312-6.

  5. Begum J, Mir NA, Lingaraju MC, Buyamayum B y Dev K, Recent advances in the diagnosis of dermatophytosis, J Basic Microbiol 2020; 60(4):293-303.

  6. Gordon AK, McIver C, Kim M, Murrell DF y Taylor P, Clinical application of a molecular assay for the detection of dermatophytosis and a novel non‐invasive sampling technique, Pathology 2016; 48:720‐6.

  7. Kovitwanichkanont T y Chong AH, Superficial fungal infections, Aust J Gen Pract 2019; 48(10):706-11.

  8. Liu X, Tan J, Yang H, Gao Z, Cai Q, Meng L et al., Characterization of skin microbiome in tinea pedis, Indian J Microbiol 2019; 59(4):422-7.

  9. Ilkit M y Durdu M, Tinea pedis: the etiology and global epidemiology of a common fungal infection, Crit Rev Microbiol 2015; 41:374-88.

  10. Wolf R, Oumeish OY y Parish LC, Intertriginous eruption, Clin Dermatol 2011; 29(2):173-9.

  11. Kottner J, Everink I, Van Haastregt J, Blume-Peytavi U y Schols J, Prevalence of intertrigo and associated factors: a secondary data analysis of four annual multicentre prevalence studies in the Netherlands, Int J Nurs Stud 2020; 104:103437.

  12. Voegeli D, Intertrigo: causes, prevention and management, British Journal of Nursing 2020; 29(12):16-22.

  13. Field LA y Adams BB, Tinea pedis in athletes, Int J Dermatol 2008; 47(5):485-92.

  14. Woo TE, Somayaji R, Haber RM y Parsons L, Diagnosis and management of cutaneous tinea infections, Adv Skin Wound Care 2019; 32(8):350-7.

  15. Findley K, Oh J, Yang J, Conlan S, Deming C, Meyer JA, Schoenfeld D, Nomicos E, Park M, Program nihisccs, Kong HH y Segre JA, Topographic diversity of fungal and bacterial communities in human skin, Nature 2013; 498:367-70.

  16. Bahmaei M, Dehghan P, Kachuei R, Babaei H y Mohammadi R, Interdigital intertrigo due to Fusarium oxysporum, Curr Med Mycol 2016; 2(1):43-6.

  17. Inci M, Serarslan G, Ozer B, Inan MU, Evirgen O, Erkaslan Alagoz G et al., The prevalence of interdigital erythrasma in Southern region of Turkey: the prevalence of interdigital erythrasma, J Eur Acad Dermatol Venereol 2012; 26(11):1372-6.

  18. Kamalam A, Senthamilselvi G, Ajithadas K y Thambiah AS, Cutaneous trichosporosis, Mycopathology 1988; 101(3):167-75.

  19. Vanhooteghem O, Szepetiuk G, Paurobally D y Heureux F, Chronic interdigital dermatophytic infection: a common lesion associated with potentially severe consequences, Diabetes Res Clin Pract 2011; 91(1):23-5.




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Dermatología Cosmética, Médica y Quirúrgica. 2021;19