目的 了解目前本地区儿童浅部真菌病的发病情况及病原菌菌种构成.方法 对2015年1月～2016年1月来我院皮肤科门诊确诊的131例浅部真菌病患儿的临床特征及真菌镜检和真菌培养结果进行分析.结果 131例浅部真菌病患儿中,足部浅部真菌病最多,为47例(35.9％),其次是躯干部(除外股部)32例(24.4％),指(趾)甲24例(18.3％),股部12例(9.2％),手部9例(6.9％),头部7例(5.3％);男孩84例(64.1％),女孩47例(35.9％),男性明显多于女性;男孩年龄8个月～14岁,女孩年龄3个月～14岁;在分离出的96株菌株中,红色毛癣菌最多(37株,38.5％),其次是白念珠菌(28株,29.2％)和犬小孢子菌(12株,12.5％),其他还有马拉色菌3株,热带念珠菌2株,其他念珠菌属10株,絮状表皮癣菌1株,须癣毛癣菌1株,未分类真菌2株.结论 131例儿童浅部真菌病中,足部浅部真菌病最多;致病菌种以红色毛癣菌、白念珠菌为主.%Objective To investigate the prevalence and pathogenic fungal species of superficial mycoses in children in our region.Methods Culture and fungal identification were performed on clinical specimens collected from 131 children with superficial mycoses in our hospital from Jan.2015 to Jan.2016.Results In these 131 cases,superficial mycoses on foot were most (47 cases,35.9 ％),followed by superficial mycoses in the body trunk (32 cases,24.4 ％),and there were the other superficial mycoses,onychomycosis (24 cases,18.3％),in femoral region (12 cases,9.2％),on hand (9 cases,6.9％),on head (7 cases,5.3％),respectively;boy,84 cases (64.1％),girl,47 cases (35.9％);the age distribution of boy was between eight months to 14 years old,and the girl's was 3 months to 14 years old;among the 96 isolated pathogenic fungi strains,the most common species were Trichophyton rubrum (37 strains,38.5％),followed by Candid albicans (28 strains,41.7％) and Microsporum canis (12 strains,12.5％).After above,there were 3 Malassezia strains,2 Candida tropicalis strains,other 10 Candida strains,1 Epidermophyton floccosum strain,1 Trichophyton mentagrophytes strain,and 2 strains of unclassified fungi.Conclusions In 131 cases of children's superficial mycosis,tinea pedis was the most common clinical type;the major pathogenic fungi were Trichophyton rubrum and Candida albicans.
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