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Diongue K, Samb D, Seck M, Diallo M, Ndiaye M, Faye M, Badiane A, Ranque S, Ndiaye D. Use of MALDI-TOF MS for fungal species distribution of interdigital intertrigo in seafarers, Dakar, Senegal. J Mycol Med 2020; 30:100974. [DOI: 10.1016/j.mycmed.2020.100974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Revised: 03/06/2020] [Accepted: 04/14/2020] [Indexed: 10/24/2022]
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Metin A, Dilek N, Bilgili SG. Recurrent candidal intertrigo: challenges and solutions. Clin Cosmet Investig Dermatol 2018; 11:175-185. [PMID: 29713190 PMCID: PMC5909782 DOI: 10.2147/ccid.s127841] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Intertrigo is a common inflammatory dermatosis of opposing skin surfaces that can be caused by a variety of infectious agents, most notably candida, under the effect of mechanical and environmental factors. Symptoms such as pain and itching significantly decrease quality of life, leading to high morbidity. A multitude of predisposing factors, particularly obesity, diabetes mellitus, and immunosuppressive conditions facilitate both the occurrence and recurrence of the disease. The diagnosis of candidal intertrigo is usually based on clinical appearance. However, a range of laboratory studies from simple tests to advanced methods can be carried out to confirm the diagnosis. Such tests are especially useful in treatment-resistant or recurrent cases for establishing a differential diagnosis. The first and key step of management is identification and correction of predisposing factors. Patients should be encouraged to lose weight, followed up properly after endocrinologic treatment and intestinal colonization or periorificial infections should be medically managed, especially in recurrent and resistant cases. Medical treatment of candidal intertrigo usually requires topical administration of nystatin and azole group antifungals. In this context, it is also possible to use magistral remedies safely and effectively. In case of predisposing immunosuppressive conditions or generalized infections, novel systemic agents with higher potency may be required.
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Affiliation(s)
- Ahmet Metin
- Department of Dermatology and Venereology, Medical School of Ankara, Yildirim Beyazit University, Ankara, Turkey
| | - Nursel Dilek
- Department of Dermatology and Venereology, Medical School of Recep, Tayyip Erdoğan University, Rize, Turkey
| | - Serap Gunes Bilgili
- Department of Dermatology and Venereology, Medical School of Yuzuncu, Yil University, Van, Turkey
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Diongue K, Diallo MA, Ndiaye M, Seck MC, Badiane AS, Ndiaye D. [Interdigital tinea pedis resulting from Fusarium spp. in Dakar, Senegal]. J Mycol Med 2017; 28:227-231. [PMID: 29132795 DOI: 10.1016/j.mycmed.2017.10.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Revised: 10/16/2017] [Accepted: 10/23/2017] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Fungal interdigital tinea pedis (ITP) is a common pathology mainly due to dermatophytes and yeasts. Fusarium sp. is rarely incriminated in the genesis of intertrigo. In Dakar, a recent study conducted in 2016 on fungal ITP showed that Fusarium were more involved in the etiology of ITP than dermatophytes, coming just after yeasts dominated by Candida. Following this, we wanted to draw attention to the increasing incidence of ITP resulting from Fusarium spp., in Dakar, Senegal, and to analyze the epidemiological and mycological particularities of these ITP due to Fusarium spp. PATIENTS AND METHODS A retrospective study including all patients received at the laboratory for suspicion of ITP between January 1st, 2014 and June 30th, 2017 was conducted. Diagnosis was based on mycological examination, including direct examination and culture. Mycological analysis was considered positive when direct examination and culture were positive after at least one repeat. RESULTS Twenty-nine cases of Fusarium ITP accounting for 44.6% of all ITP in the study period were diagnosed in 15 men and 14 women. The mean age of the patients was 48.4 years. Fusarium ITP were diagnosed in immunocompetent patients except in two diabetics. The mean duration of the lesions was 6.83 years. The most frequent species isolated belonged to the Fusarium solani complex with 19 cases. CONCLUSION Fusarium ITP in a healthy subject requires regular monitoring because any subsequent decrease in immune defenses could lead to fatal hematogenous spread.
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Affiliation(s)
- K Diongue
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal.
| | - M A Diallo
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal
| | - M Ndiaye
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
| | - M C Seck
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
| | - A S Badiane
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
| | - D Ndiaye
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
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