摘要
目的了解门诊诊治的儿童头癣患儿临床及病原菌分布特征.方法收集2019年12-2020年12月就诊于第四军医大学西京皮肤医院确诊为儿童头癣的患儿45例,并对患儿的临床及真菌学资料进行回顾性分析.结果45例儿童头癣患儿中男27例,女18例,男:女=1.5:1.平均年龄(4.7±2.1)岁,<6岁31例(68.9%).白癣39例(86.7%),脓癣4例(8.9%),黑点癣2例(4.4%).共分离出菌株42株,其中犬小孢子菌38株(84.4%),须癣毛癣菌复合体3株(6.7%),石膏样小孢子菌1株(2.2%).结论45例头癣患儿中白癣是主要临床类型,引起儿童头癣的致病真菌主要为犬小孢子菌,其次为须癣毛癣菌复合体.6岁以下为儿童主要感染人群,男孩感染人数明显多于女孩,可能与男孩更喜欢与宠物玩耍有关.
Objective To understand the clinical and pathogen distribution characteristics of children with tinea capitis treated in the outpatient Department of Dermatology,Xijing Hospital.Methods 45 patients with tinea capitis diagnosed in Xijing Skin Hospital from December 2019 to December 2020 were collected,and the clinical and mycological data of the patients were analyzed retrospectively.Results Among the 45 children with tinea capitis,there were 27 males and 18 females,male:female=1.5:1.The mean age was 4.7±2.1 years old(range,1~8 years old),and 31 cases(68.9%)were under 6 years old.There were 39 cases of tinea albicans(86.7%),4 cases of tinea purulens(8.9%),and 2 case of tinea nigricans(4.4%).A total of 42 strains were isolated,including 38 strains of Microspoirum canis(84.4%),3 strains of Trichophyton mentagrophyte complexs(6.7%),and 1 strain of Microsporium gypseum(2.2%).Conclusion Our study suggests that in 45 cases of tinea capitis in children,tinea albicans is the main clinical type.And the pathogenic fungus causing tinea capitis in children is mainly Microsporum canis,followed by Trichophyton mentagrophyte complexs.Children under 6 years old are the main infected population,and the number of infected boys is significantly higher than that of girls,which may be related to boys'fperreence for playing with pets.
作者
郭艳阳
海璐明
刘荣
闫东
付萌
GUO Yan-yang;HAI Lu-ming;Liu Rong(Department of Dermatology,Xijing Hospital,the Fourth Military Medical University,Xi’an 710032,China)
出处
《实用皮肤病学杂志》
2023年第1期21-24,共4页
Journal of Practical Dermatology
基金
国家自然自然科学基金面上项目(82173409)
陕西省自然科学基金面上项目(2020JM-323)
关键词
头癣
儿童
犬小孢子菌
须癣毛癣菌复合体
Tinea capitis,children
Microsporium canis
Trichophyton mentagrophyte complexs
