Bada MM, Arenas R

Language: Spanish
References: 11
Page: 163-168
PDF size: 515.08 Kb.

ABSTRACT

Background: Inguinal intertrigo can also involve the peripheral areas, as erythematous and squamous plaques with vesicular borders. It is frequent in warm climates and the most common isolated dermatophytes are Epidermophyton Floccosum, Trichophyton Rubrum and Trichophyton Mentagrophytes, and also Candida Albicans.
Objective: To isolate the etiological agents of inguinal intertrigo in the sea port of Veracruz, Mexico.
Methodology: Prospective and transversal study of 958 cases from March 2005 to February 2006. 328 cases from the dermatological outpatient clinic, 600 patients from a domiciliary survey, and 30 patients from an elderly asylum. We analyzed age, sex, clinical diagnosis and mycological results.
Results: Among 958 patients analyzed we found six cases with inguinal intertrigo (0.6263 %), three were found in the survey (0.3131%), and three were found in dermatological consultation of the Mexican Institute of Social Security (0.3131%). Four cases were males and two females. Age range was from 13 to 72 years of age (average 28.5). All patients had a positive KOH and T. Rubrum was isolated in all the cultures.
Conclusions: In the sea port of Veracruz, the frequency of inguinal intertrigo is low (0.6263%). The most important etiological agent is T. Rubrum.

REFERENCES

1. Fitzpatrick TB. Dermatology in general medicine. Prevalence of significant skin pathology. New York, McGraw-Hill 1979: 6.

2. Arenas R, Bonifaz A, Chávez G, Estrada R, López R y cols. Micosis superficiales. Dermatología Rev Mex 1999: 43 (2): 80-88

3. Asz-Sigall D, Arenas R. Epidermophyton floccosum como causa de dermatofitosis. Experiencia de 24 casos estudiados en diez años. Dermatología Rev Mex 2004; 48: 67-70

4. Arenas R, Bonifaz A, Chávez G, Estrada R, López R y cols. 2a revisión del consenso nacional de prevención, diagnóstico y tratamiento de micosis superficiales. UNAM 2003: 38

5. Rippon JW. Tratado de micología médica. 3a ed., Interamericana Mc Graw- Hill, México, 1980: 226-228

6. Aly R. Ecology and epidemiology of dermatophyte infections. J Am Acad Dermatol 1994; 31: S21-25

7. Vásquez del Mercado E, Arenas R. Datos epidemiológicos y factores causales de la tiña de la ingle. Revisión de cinco años. Dermatología Rev Mex 2001; 45 (3): 126-129

8. Gómez Vázquez M, Sánchez-Aguilar D, Pereiro Jr M, Toribio J. Tiña inflamatoria de la ingle en una mujer por T. mentagrophytes var interdigitale. Actas Dermosifiliogr 2002; 93 (7): 461-463

9. Maleszka R, Ratka P. Clinical and epidemiological aspects of various forms of fungal infections caused by Trichophyton tonsurans. Rev Iberoam Micol 1998; 15: 266-289

10. Aridogan A, Atés, Izol V, Ilkit M. Tinea cruris in routine urology practice. Urol Int 2005; 74: 346-348

11. Wade Foster K, Ghannoum M, Elewski B. Epidemiologic surveillance of cutaneous fungal infection in the United States from 1999 to 2002. J Am Acad Dermatol 2004; 748-752