Continuous increase of Trichophyton tonsurans as a cause of tinea capitis in the urban area of Paris, France: a 5-year-long study.

Abstract : Tinea capitis (TC) is a highly contagious fungal infection of the scalp due to dermatophytes in children. To obtain information on the epidemiology of TC in the urban area of Paris, we analysed the microbiological results of 3090 patients seen with suspected TC from October 2010 to September 2015 at Saint Louis hospital, Paris, France. A peak of TC was observed in 3-6 year-old children, followed by a progressive decrease until 16 years of age. Of the 1311 positive cultures, 95% (1246) yielded one of the three anthropophilic species [Trichophyton tonsurans (33.5%), Trichophyton soudanense (38.3%), or Microsporum audouinii (28.2%)]. When considering one TC case per family, we observed a significant increase of T. tonsurans (P = .018) during these 5 years. The increase was more pronounced (P = .0047) in patients of West-African descent (n = 666), and was at the expense of M. audouinii and T. soudanense On the other hand, the Caribbean patients (n = 85) remained predominantly (72.9%) infected by T. tonsurans Our results show a better virulence of T. tonsurans over other species as already reported. Since T. tonsurans has not been reported in Africa, the infection of patients of West-African descent probably took place in the Paris area by exchanges with Caribbean patients. This increase of TC due to T. tonsurans was observed in the context of griseofulvin being the only licensed paediatric treatment for TC in France, which should deserve reappraisal because terbinafine may be more efficacious.
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Article dans une revue
Medical Mycology, Oxford University Press, 2016, 〈10.1093/mmy/myw107〉
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Soumis le : mardi 29 novembre 2016 - 16:14:05
Dernière modification le : jeudi 11 janvier 2018 - 06:25:24

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Maud Gits-Muselli, Mazouz Benderdouche, Samia Hamane, Anselme Mingui, Martine Feuilhade de chauvin, et al.. Continuous increase of Trichophyton tonsurans as a cause of tinea capitis in the urban area of Paris, France: a 5-year-long study.. Medical Mycology, Oxford University Press, 2016, 〈10.1093/mmy/myw107〉. 〈pasteur-01405212〉

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