荆州地区49例0～6岁儿童甲真菌病病原学分析  

Analysis of Pathogenic Fungi of the 49 Children with Onychomycosis Aged from 0 to 6 Years Old in Jingzhou

作　　者：李丽[1] 方静[1] 刘进先[1] 

机构地区：[1]长江大学附属第一医院,荆州434000

出　　处：《中国中西医结合皮肤性病学杂志》2016年第1期13-15,共3页Chinese Journal of Dermatovenereology of Integrated Traditional and Western Medicine

摘　　要：目的了解荆州地区0~6岁儿童甲真菌病的临床特征及病原菌分布特点。方法回顾性分析49例经真菌镜检和真菌培养诊断为甲真菌病的0~6岁儿童病例资料。结果儿童甲真菌病患者在3~6岁中构成比最高。最常见临床类型为远端侧位甲下型（59.18%）。可能危险因素为浅部真菌病家族病史、甲外伤史和其他部位浅部真菌病史。共分离出病原菌49株,包括皮肤癣菌17株,酵母菌30株,非皮肤癣菌2株,最常见的致病菌依次为光滑念珠菌（20.41%）、红色毛癣菌（18.37%）和近平滑念珠菌（18.37%）。结论荆州地区0~6岁儿童甲真菌病最主要致病菌种为光滑念珠菌,针对其临床特征及病原菌分布的研究十分重要。Objective To determine the clinical characteristics and the distribution features of pathogenic fungi in the children with onychomycosis from 0 to 6 years old in Jingzhou. Methods The clinical results of 49 cases which were diagnosed as onychomycosis by fungus microscopic examination and culture were analyzed retrospectively. Results The highest constituent ratio of the children onychomycosis were aged from 3 to 6 years old. The most common infected type of children onychomycosis was distaland lateral subungualonychomycosis （59.18%）. The possible risk factors for which were the history of family, trauma of nails and others places of tinea infection. A total of 49 strains of pathogenic fungi were isolated, of these strains, 17 stains were dermatophytes, 30 stains were Candida spp and 2 stains were non-dermatophytes. The main pathogenic fungi was Candida glabrata （20.41%）, and then was Trichophyton rubrum （18.37%） and Candida parapsilosis （18.37%）. Conclusion The most common pathogenic fungus is Candida glabrata, and it is important to analyse the clinical features and the distribution features of pathogenic fungi.

关 键 词：儿童 甲真菌病 病原菌 

分 类 号：R756.4[医药卫生—皮肤病学与性病学]