湖北省及周边地区625例头癣病原菌分析  

Analysis of fungal pathogens in 625 cases of tinea capitis in Hubei province and surrounding areas

作　　者：方美珍 刘钟[2] 江萍[2] 杨静[2] 董碧麟[2] 曾志良[2] 陈尊义[2] 童中胜[2] FANG Mei-zhen;LIU Zhong;JIANG Ping;YANG Jing;DONG Bi-lin;ZENG Zhi-liang;CHEN Zun-yi;TONG Zhong-sheng(Jianghan University School of Medical,Wuhan 430056,China;Department of Dermatology,Wuhan First Hospital,Wuhan 430022,China)

机构地区：[1]江汉大学医学院,武汉430056 [2]武汉市第一医院皮肤科,武汉430022

出　　处：《中国真菌学杂志》2020年第5期274-277,共4页Chinese Journal of Mycology

基　　金：武汉市卫计委科研课题(WX16D31)。

摘　　要：目的分析湖北省及周边地区2011~2018年头癣患者病原菌菌种及临床特征的分布情况。方法回顾性分析2011~2018年武汉市第一医院皮肤科门诊及住院部诊断为头癣的625例患者的基本信息及真菌学资料。结果625例患者中,男性:252例(40.32%),女性:373例(59.68%),发病年龄1个月~84岁。培养阳性:507例(81.24%)培养阴性:118例(18.76%)。致病菌以紫色毛癣菌为主(49.90%),其余依次为:犬小孢子菌、须癣毛癣菌、断发毛癣菌、红色毛癣菌、石膏样小孢子菌、铁锈色小孢子菌、许兰毛癣菌。培养阳性的患者中,成人共有80例(15.78%)。发病人群集中在0~12岁(82.65%),临床上以黑点癣为主(57.99%),依次为白癣、脓癣,黄癣少见。结论湖北省及周边地区头癣患者年龄集中在0~12岁,以紫色毛癣菌引起的黑点癣最常见。Objective To analyze the pathogens and clinical characteristics of tinea capitis cases in Hubei province and surrounding areas during the period 2011 to 2018.Methods The basic information of patients diagnosed as tinea capitis in the mycology laboratory,department of Wuhan first hospital from 2011 to 2018 were retrospectively analyzed.Results A total of 625 patients were diagnosed tinea capitis,include 252 males and 373 females,with onset ages ranging from 1 month to 84 years old.Positive culture 507(81.24%)cases,negative culture 118(18.76%)cases.Pathogenic fungus was given priority to with Trichophyton violaceum(49.90%),followed by Microsporum canis,Trichophyton mentagrophytes,Trichophyton tonsurans,Trichophyton rubrum,Microsporum gypseum,Microsporum ferrugineum,Trichophyton schoenleinii.Among the culture-positive patients,80(15.78%)were adults.The highest prevalence was seen in the 0 to 12 years old group(82.65%).The priority of clinical manifestation was black-dot ringworm(57.99%),tinea alba,kerion,tinea favosa were rare.Conclusion The tinea capitis patients in Hubei province and surrounding areas was concentrated in 0-12 years old.The most common type was black-dot ringworm,mainly caused by Trichophyton violaceum.

关 键 词：头癣 病原菌 流行病学 紫色毛癣菌 

分 类 号：R756.1[医药卫生—皮肤病学与性病学]