Epidemiology and management of tinea capitis in France: A 6-year nationwide retrospective survey.

Autor:	Gangneux JP; Department of Parasitology-Mycology, Excellence Center in Medical Mycology (ECMM EC), Rennes University Hospital, Rennes, France., Miossec C; Department of Parasitology-Mycology, Fort-de-France University Hospital, Martinique, France., Machouart M; Department of Parasitology-Mycology, Nancy University Hospital, Nancy, France., Gits-Muselli M; Department of Parasitology-Mycology, Saint-Louis University Hospital, AP-HP, Paris, France., Benderdouche M; Department of Parasitology-Mycology, Saint-Louis University Hospital, AP-HP, Paris, France., Ranque S; Department of Parasitology-Mycology, Marseille University Hospital, Marseille, France., Botterel F; Unit of Parasitology-Mycology, Henri Mondor University Hospital, AP-HP, Dynamyc research group, UPEC, Créteil, France., Brun S; Department of Parasitology-Mycology, Avicenne Hospital, AP-HP, Sorbone Paris Nord University, Bobigny, France.
Jazyk:	angličtina
Zdroj:	Medical mycology [Med Mycol] 2024 Jul 04; Vol. 62 (7).
DOI:	10.1093/mmy/myae047
Abstrakt:	Tinea capitis (TC) is still a frequent dermatophytosis in France, both autochthonous and imported. A nationwide retrospective survey was performed and a total of 4395 TC cases were recorded within 36 French mycology laboratories during a 6-year period. TC is a disease that occurs in childhood with 85% of the cases occurring before 10 years old and 94% before the age of 15. Anthropophilic origin was predominant with 779 cases of Trichophyton tonsurans (32.6%), 738 cases of Trichophyton soudanense/T. violaceum (31%), and 445 cases of Microsporum audouinii (19.2%). Of note, T. tonsurans represents more than 80% of the cases in the French West Indies (Martinique and Guadeloupe). By contrast, zoophilic species were less prevalent with mainly M. canis (10.3%) confirming the shift from zoophilic to anthropophilic species observed in many centers during the last decades. During this survey, diagnosis methods were also collected. Most labs had a classical process for the diagnosis: microscopic direct examination associated to cultures on Sabouraud and Sabouraud-cycloheximide media (incubated between 25 ± 5°C for at least 3 weeks) in all laboratories. Identification of the causal dermatophyte was performed by microscopic and macroscopic examination of the cultures in 100% of the labs, with various specific culture media available when fructification was insufficient (mainly malt or potato-dextrose agar, or Borelli medium). New techniques were also implemented with the introduction of MALDI-TOF mass spectrometry identification in more than two third of the labs, and molecular identification available if necessary in half of the labs. (© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Human and Animal Mycology.)
Databáze:	MEDLINE
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