32例阴茎阴囊浅表真菌感染患者的临床分析  

Clinical analysis of 32 cases with superficial fungal infections of penis and scrotum

作　　者：李美荣[1] 尹颂超[1] 魏玲[1] 陈剑[1] 马寒[1] 冯佩英[1] LI Meirong;YIN Songchao;WEI Ling;CHEN Jian;MA Han;FENG Peiying(Department of Dermatology and Venereology,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510630,China)

机构地区：[1]中山大学附属第三医院皮肤性病科,广东广州510630

出　　处：《中国卫生检验杂志》2018年第14期1708-1709,共2页Chinese Journal of Health Laboratory Technology

基　　金：国家自然科学基金青年科学基金项目(81401650)

摘　　要：目的探讨阴茎阴囊部位浅表真菌感染的临床特征与病原菌的联系,提高对该类疾病的认识。方法分析2007年-2017年本科真菌学检查确诊的32例阴茎阴囊浅表真菌感染,分析患者一般资料、临床特征及相关病原菌。结果 32例患者均为青少年,平均年龄为20.5岁,平均病程为2.6个月。真菌培养鉴定皮肤癣菌26株(78.8%),酵母菌7株(21.2%)。30例阴囊感染中,24例(75.0%)为单纯性感染,以白色伪膜样斑片为主要表现,石膏样小孢子菌为主要病原菌;其中6例(18.8%)合并其他部位真菌感染,表现为干燥的糠秕样白色细碎鳞屑性斑片,红色毛癣菌为该类型主要病原菌。2例阴茎癣均合并股癣,且均由皮肤癣菌引起。结论阴茎阴囊浅表真菌感染的病原菌主要为皮肤癣菌,其临床表现具有一定特征性,且石膏样小孢子菌主要引起阴囊单纯性感染,而红色毛癣菌则引起阴茎阴囊多部位感染。Objective To explore the relationship of the pathogens with the clinical features of superficial fungal infections in scrotum and penis, so as to improve the understanding of such diseases. Methods Thirty-two male patients with superficial fungal infections of penis and scrotum confirmed by fungal test in our Dermatology Department in 2007 were conducted for the analysis of general data, clinical characteristics and related pathogens. Results The 32 patients were all young adults, with average age of 20.5 years old and average onset of 2.6 months. Dermatophytes were the most frequently isolated pathogens（26,78.8% ） , followed by 7 Yeast isolates（21.2% ）. Among the 30 cases of scrotum infections, 24（75.0% ） cases were solitary infection which were mainly caused by Microsporum gypseum and presented as white pseudomembrane-like scaly patches, and 6 cases（ 18.8% ） were complicated with otherwise tinea which caused by Trichophyton rubrum and presented as dry pityriasis macules. Both tinea penis cases co-infected with tinea cruris which caused by dermatophytes. Conclusion The superficial fungal infection of penis and scrotum is mainly caused by dermatophytes, and its clinical manifestations have certain characteristics, and gypsum-like microspores mainly cause simple infection of scrotum, while T. rubrum causes infection of penis and scrotum.

关 键 词：阴茎 阴囊 真菌感染 皮肤癣菌病 临床表现 

分 类 号：R756.2[医药卫生—皮肤病学与性病学]