开封地区92例头癣病原菌分析

目的了解近2年来开封地区头癣的发病情况及病原菌的分布情况。方法回顾性分析2014年5月—2016年4月在开封市第二人民医院皮肤科诊治的开封地区92例头癣患者病例资料。结果 92例头癣患者中白癣77例(83.70%),脓癣8例(8.70%),黄癣5例(5.43%),黑点癣2例(2.17%)。88例真菌培养阳性患者中,主要病原菌为犬小孢子菌68株(73.91%)、须癣毛癣菌9株(9.78%),紫色毛癣菌5株(5.43%),许兰毛癣菌5株(5.43%)。77例白癣病原菌中犬小孢子菌63株(81.82%)、须癣毛癣菌7株(9.09%)。结论开封地区头癣中白癣发病率占首位,主要致病菌为犬小孢子菌。

Analysis for Pathogenic Fungi of 92 Cases of Tinea Capitis in Kaifeng

Objective In order to find out clinical features and pathogenic fungi of tinea capitis in Kaifeng in the last two years.Methods A total of 92 patients of tinea capitis diagnosed at the department of dermatology,second people's hospital of Kaifeng,from May 2014 to April 2016 were retrospectively analysed.Results A total of 92 patients with tinea capitis were diagnosed,including 77 cases of tinea alba (83.70％),8 cases of kerion(8.70％),5 cases of tinea favosa(5.43％) and 2 cases of black-dot ringworm (2.17％).Among 88 culture-proven tinea capitis,the most common pathogenic fungi was Microsporum canis (68 strains,73.91％),followed by Trichophyton mentagrophytes (9 strains,9.78％),Trichophyton violaceum (5 strains,5.43％) and Trichophyton schoenleinii (5 strains,5.43％).A total of 77 patients with tinea alba were diagnosed,including Microsporum canis (63 strains,81.82％),Trichophyton mentagrophytes (7 strains,9.09％).Conclusion Tinea alba has the highest prevalence,and Microsporum canis is the most common pathogenic fungi in Kaifeng.