Cat Contact as A Risk Factor for Tinea Capitis Infection

Evy Ervianti, Addia Salsabila, Yuri Widia, A. P. Kawilarang
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Abstract

Background: Tinea capitis (TC) is common infection caused by dermatophytes on the scalp. Cat contact is one of the TC risk factors. Microsporum canis is the most abundant fungi in cats and humans as a zoophilic infection. Cats and carrier cats can infect humans, mostly children. Purpose: To evaluate cat contact as a risk factor for TC patients at the Dermatology and Venereology Outpatients Unit of Dr. Soetomo General Academic Hospital Surabaya in January 2017 - December 2018. Methods: A retrospective study by observation and recording data. The results obtained as a result of the data recap were then processed using tabulation to obtain conclusions. Result: The results obtained from TC cases in 2017 and 2018 are 20 patients. The results were cat contact in 9 patients (45%), aged > 5 years (55,6%), male (55,6%), and lived in Surabaya (88,9%), hair loss (88,9%), crust (100%), M. canis in culture (55,6%), Grey patch type (55,6%), combination of oral Griseofulvin and Ketoconazole 2% scalp solution (88,9%), and patients’ follow up (44,4%). Discussion: More people keeping cats will increase the risk of being infected with feline dermatophytosis. Combination therapy is the best treatment for M. canis. It is important to educate parents to be careful with pet cats that can become carriers. Conclusion: Cat contact was positive in almost half patients, mostly in a male and > 5 years old. The most common signs and symptoms were crust and hair loss, and grey patch.
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猫接触是头癣感染的一个危险因素
背景:头癣是一种常见的由头皮皮癣引起的感染。猫接触是TC的危险因素之一。犬小孢子菌是猫和人体内最丰富的真菌,是一种嗜兽性感染。猫和带菌猫可以感染人类,主要是儿童。目的:评估2017年1月至2018年12月在泗水Soetomo博士综合学术医院皮肤科和性病门诊部,猫接触作为TC患者的危险因素。方法:采用回顾性观察和记录资料的方法。通过数据重述获得的结果然后使用制表法进行处理以得出结论。结果:2017年和2018年获得的TC病例结果为20例。结果:接触猫9例(45%),年龄> 5岁(55,6%),男性(55,6%),居住在苏拉巴亚(88,9%),脱发(88,9%),结皮(100%),培养犬支原体(55,6%),灰斑型(55,6%),联合口服灰黄霉素和酮康唑2%头皮液(88,9%),患者随访(44,4%)。讨论:越来越多的人养猫会增加感染猫皮肤癣的风险。联合治疗是治疗犬支原体的最佳方法。重要的是要教育父母小心可能成为携带者的宠物猫。结论:近半数患者与猫接触呈阳性,多为5岁以上男性。最常见的体征和症状是结皮、脱发和白斑。
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