A clinical, epidemiological and therapeutic scenario of dermatophytosis in a tertiary care hospital in the state of Telangana, India

Abstract

Background: Dermatophytosis is a superficial fungal infection of the keratinized tissue. The infection generally designated as Tinea. Objectives of the study were to analyze the epidemiological, clinical and therapeutic scenario of the patients of the dermatophytosis attending a tertiary care hospital in the state of Telangana. As these infection falls into differential diagnosis of many skin disorders it is necessary to make early laboratory tests for better management. These infections spread through occlusive foot wear, hot humid climate, malnutrition, endocrinal disorders like Cushing syndrome. Methods: The present study was a prospective study conducted on individual patients who visited DVL department of Malla Reddy Medical College for women, Suraram, Hyderabad in the Telangana state between 23/11/2015 to 22/3/2016. Results: Males were more than females. Maximum patients were seen in the age group of 21-30 years. Very few cases were seen above the age of 60 years. Maximum cases presented with T. corporis followed by T. cruris. Five cases had more than one type of Tinea. Maximum cases were KOH positive. 26.3% of cases were culture positive. 17.5% of cases were both KOH and culture positive Maximum i.e. 70.2% of cases were treated with miconazole followed by clotrimazole in 10.5% of cases Maximum cases were treated with terbinafine in 56.14% of cases followed by itraconazole in 12.3% of cases. Conclusions: This study provides an incidence of T. corporis with male predominance of cases and responding well to the standard therapeutic line of management along with proper personal counseling about the lifestyle modifications in a tertiary care hospital.