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Asymptomatic groin dermatophyte carriage detected during routine gynaecologic examinations
Author(s) -
KüçükgözGüleç Ümran,
Gümral Ramazan,
Güzel Ahmet B.,
Khatib Ghanim,
Karakaş Mehmet,
Ilkit Macit
Publication year - 2013
Publication title -
mycoses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.13
H-Index - 69
eISSN - 1439-0507
pISSN - 0933-7407
DOI - 10.1111/myc.12012
Subject(s) - dermatophyte , groin , asymptomatic , trichophyton rubrum , carriage , medicine , dermatology , mycosis , microbiology and biotechnology , pathology , biology , surgery , antifungal
Summary We investigated the epidemiological characteristics of both symptomatic and asymptomatic dermatophytic groin infections in 1970 women (age: 36.2 ± 12.5) during routine gynaecologic examinations. Bilateral groin samples were collected with sterile cotton swabs premoistened with sterile physiological saline. The samples were then separately inoculated onto Sabouraud glucose agar. Fungi were identified by sequencing the rDNA internal transcribed spacer region. Dermatophytes were recovered from five patients (four Trichophyton rubrum and one Arthroderma vanbreuseghemii , 0.25%) with a diagnosis of asymptomatic carriers (four) and tinea inguinalis (one). In one case, groin carriage converted into tinea inguinalis after 3 weeks. Analysis of risk factors indicated that patients of at least 49 years were more likely to be positive for dermatophyte isolation ( P = 0.002). In conclusion, groin dermatophyte carriage is more common than tinea inguinalis and can potentially convert into a symptomatic infection.