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Emergence of African species of dermatophytes in tinea capitis: A 17-year experience in a Montreal pediatric hospital.
Marcoux, Danielle; Dang, Julie; Auguste, Hedwige; McCuaig, Catherine; Powell, Julie; Hatami, Afshin; Maari, Catherine; Le Meur, Jean-Baptiste.
Afiliação
  • Marcoux D; Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Center, Montreal, QC, Canada.
  • Dang J; Faculty of Medicine, University of Montreal, Montreal, QC, Canada.
  • Auguste H; Public Health, University of Montreal, Montreal, QC, Canada.
  • McCuaig C; Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Center, Montreal, QC, Canada.
  • Powell J; Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Center, Montreal, QC, Canada.
  • Hatami A; Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Center, Montreal, QC, Canada.
  • Maari C; Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Center, Montreal, QC, Canada.
  • Le Meur JB; Department of Social and Preventive Medicine, Faculty of Medicine, Laval University, Quebec, QC, Canada.
Pediatr Dermatol ; 35(3): 323-328, 2018 May.
Article em En | MEDLINE | ID: mdl-29573445
BACKGROUND/OBJECTIVES: An increase in dermatophyte infections caused by African species is reported in countries receiving African immigrants. Our goal was to determine the epidemiologic and clinical characteristics of tinea capitis in children infected with African species of dermatophytes in Montreal, Canada. METHODS: Demographic and clinical data from medical records of children infected with African species of dermatophytes were retrieved retrospectively (2000-2016) at Sainte-Justine University Hospital Center. RESULTS: In Montreal, the number of tinea capitis cases caused by African species of dermatophytes increased sixfold over 17 years. African immigrant children (84%), men and boys (61%), and preschoolers (2-5 years old) (51%) were the most frequently affected in our 315 cases. Family contamination was frequent (45%). Referring physicians prescribed systemic antifungal treatment in 39% of cases and pediatric dermatologist consultants in 90%. Treatment failure to oral terbinafine occurred in 39% of Microsporum audouinii infections. CONCLUSION: In Montreal, there was a significant increase in tinea capitis caused by African species of dermatophytes. Microsporum audouinii is highly transmissible and often resistant to oral terbinafine. Recognizing tinea capitis trends in a given environment will improve patient care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tinha do Couro Cabeludo / Arthrodermataceae Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Africa / America do norte Idioma: En Revista: Pediatr Dermatol Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tinha do Couro Cabeludo / Arthrodermataceae Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Africa / America do norte Idioma: En Revista: Pediatr Dermatol Ano de publicação: 2018 Tipo de documento: Article