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Dermatoloji kliniklerine başvuranların önemli bir kısmını dermatofit enfeksiyonu olan hastalar oluşturmaktadır. Dermotofitozlar pekçok hastalığın klinik tablosunu taklit etmektedir. Dermatofitoz etkenlerinin saptanması, korunma ve tedavide yol gösterici olduğu gibi epidemiyolojik çalışmalar için de önemlidir. Bu çalışmada, 01.06.2010 ve 01.06.2019 tarihleri arasında dermotofitoz şüpheli hastalardan alınan örnekler incelenerek, izole edilen dermatofitlerin sıklığı belirlenmiştir ve ayrıca klinik tanı ile laboratuvar tanısı arasındaki uyumun değerlendirilmesi amaçlanmıştır. Dermatofitoz şüpheli hastalardan alınan kıl, deri ve tırnak örnekleri incelenmiştir. Direkt mikroskobik inceleme amacıyla % 10 KOH ile hazırlanan preparatlar hazırlanmıştır. Kültür istemi olan örneklerin ise Sabouraud Dekstroz Agara çift plak ekimleri yapılmıştır. Direkt mikroskobik inceleme yapılan 4993 örnekten 1800’ü (% 36) pozitif olarak bulunmuştur. Kültür sonuçları incelendiğinde Trichophyton rubrum (Castell.) Sabour. (% 78) en sık izole edilen dermatofit etkeni olup bunu sırasıyla T. tonsurans (% 7.6), T. mentagrophytes (% 3.8), T. verrucosum (% 3.8), Microsporum canis (% 3) ve M. gypseum ( E.Bodin) Guiart&Grigoraki (% 2.3) izlemiştir. Çalışmamızın sonuçlarına göre direkt mikroskopi sonuçlarıyla klinik tanı arasında % 50.3 kültür sonuçlarıyla klinik tanı arasında ise % 63.6 oranında bir uyum tespit edilmiştir. Bu veriler doğrultusunda, dermatofitoz tanısı için klinik değerlendirmenin yanı sıra, direkt mikroskopik inceleme ve kültür yönteminin yapılmasının yararlı olacağı düşünülmüştür.
A significant proportion of those who apply to dermatology clinics are patients with dermatofit infection. Dermotofytosis imitates the clinical picture of many diseases. Detection of dermatophytosis factors is also important for epidemiological studies as a guide in prevention and treatment. This study examined the samples taken from patients with dermotofitosis between 01.06.2010 and 01.06.2019, determined the frequency of isolated dermatofits and also aimed at assessing the compatibility between clinical diagnosis and laboratory diagnosis. Examples of hair, skin and nails taken from suspicious patients with dermatophytosis have been studied. Preparations prepared with 10% KOH for direct microscopic examination. Examples of culture demand are made by Sabouraud Dekstroz Agara double plate crops. Of the 4993 samples in direct microscopic examination, 1800 (36%) were positive. When the cultural results are studied; Trichophyton rubrum (Castell.) and sabour. The most frequently isolated dermatofit factor (% 78) was followed by T. tonsurans (% 7.6), T. mentagrophytes (% 3.8), T. verrucosum (% 3.8), Microsporum canis (% 3) and M. gypseum ( E.Bodin) Guiart&Grigoraki (% 2.3). According to the results of our study, a harmony between direct microscopy and clinical diagnosis was found at 50.3%, and between cultural and clinical diagnosis at 63.6%. According to these data, in addition to the clinical assessment for the diagnosis of dermatofytosis, the direct microscopic examination and the method of culture was considered to be useful.
Dermatophyte infection constitutes a significant proportion of patients admitted to dermatology clinics. Dermotophytosis mimics the clinical picture of many diseases. Detection of dermatophytosis agents is important for prevention and treatment as well as for epidemiological studies. In this study, samples taken from patients suspected of dermotophytosis between 01.06.2010 and 01.06.2019 were examined and the frequency of isolated dermatophytes was determined and it was aimed to evaluate the agreement between clinical diagnosis and laboratory diagnosis. Hair, skin and nail samples taken from patients suspected of dermatophytosis were examined. Preparations with 10 % KOH were prepared for direct microscopic examination. Sabouraud Dextrose Agara double plate cultivation was performed for the samples that were cultured. Under direct microscopic examination 1800 (36 %) of the 4993 samples were found to be positive. When the results of the cultures were examined; Trichophyton rubrum (Castell.) Sabour. (78 %) was the most commonly isolated dermatophyte agent and Trichophyton rubrum was followed by T. tonsurans (7.6 %), T. mentagrophytes (3.8 %), T. verrucosum (3.8 %), Microsporum canis (3 %) and M. gypseum ( E.Bodin) Guiart&Grigoraki (2.3 %) respectively. According to our results, the concordance between direct microscopy results and clinical diagnosis were 50.3 %; however, there was a 63.6 % concordance between culture results and clinical diagnosis. In line with these data, it is considered that clinical microscopic examination and culture method should be performed in addition to clinical evaluation for the diagnosis of dermatophytosis.
Alan : Sağlık Bilimleri; Ziraat, Orman ve Su Ürünleri
Dergi Türü : Uluslararası
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