华南南昌地区男性生殖器真菌感染的临床特征和病原体谱系

IF 3.6 3区 生物学 Q2 MYCOLOGY Mycopathologia Pub Date : 2024-04-16 DOI:10.1007/s11046-024-00839-0
Yun Jin, Yangmin Gao, Yunpeng Luo, XiaoHua Tao, Qing Jiang, Xinyi Fan, Rui Xu, Hua Qian, Xiaoguang Li, Zhijun Zhou
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摘要

男性生殖器皮肤真菌感染相对罕见,通常表现为各种非典型临床症状。它主要见于少数病例报告,而大量患者的数据却鲜有报道。在这项研究中,我们报告了 79 例阴囊或阴茎皮肤真菌感染的男性患者。真菌感染直接通过显微镜检查和真菌培养得到证实。研究还收集了临床特征和致病因素。在这 79 名患者中,72 人的病变发生在阴囊,5 人的病变发生在阴茎,2 人的病变同时发生在阴囊和阴茎。红癣毛癣菌(T. rubrum)是最常见的病原体,在 50 名(67.6%)患者中发现,其临床表现多种多样,如主要为红斑、干燥的弥漫性鳞屑性病变,边界不清,略带粉末状和鳞屑性鳞屑。白色念珠菌(C. albicans)是第二种常见的病原体,在 21 例(28.4%)患者中发现,其皮损表现也多种多样,如红斑伴干性白色鳞屑皮损和红斑糜烂。致病因素主要包括生殖器以外的其他部位同时发生真菌感染,尤其是腹股沟区(股癣)、使用皮质类固醇激素和高湿度。总之,男性生殖器皮肤真菌感染可能由不同的真菌引起,大多数病例临床表现不典型或轻微,可能是真菌贮藏库,强调及时进行真菌检查和相应治疗的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Clinical Characteristics and Pathogen Spectrum of Male Genital Fungal Infections in Nanchang Area, South China

The cutaneous fungal infections in male genitalia are relatively rare, and often present with various atypical clinical symptoms. It was mainly reported in a small number of case reports, while data with large number of patients were rarely reported. In this study, we reported 79 male patients with cutaneous fungal infections on scrotum or penis. The fungal infections were confirmed by microscopic examination directly and fungus culture. Clinical characteristics and predisposing factors were also collected. Of these 79 patients, 72 has lesions on scrotum, 5 on penis and 2 on both scrotum and penis. Trichophyton (T.) rubrum is the most common pathogen, found in 50 (67.6%) patients, which presented diverse clinical manifestation such as majorly erythematous, dry diffused scaly lesions without a clear border, slightly powdery and scutular scalings. Candida (C.) albicans is the secondly common pathogen, found in 21 (28.4%) patients, which also presented diverse lesions such as erythematous with dry whitish scaly lesions and erythematous erosion. The predisposing factors mainly included concomitant fungal infections on sites other than genitalia, especially inguinal region (tinea cruris), application of corticosteroid and high moisture. In conclusion, cutaneous fungal infections in male genitalia could be caused by different fungi, showed atypical or mild clinical appearances in most cases and might be a fungus reservoir, emphasizing the necessity to timely perform the fungi examinations and corresponding therapy.

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来源期刊
Mycopathologia
Mycopathologia 生物-真菌学
CiteScore
6.80
自引率
3.60%
发文量
76
审稿时长
3 months
期刊介绍: Mycopathologia is an official journal of the International Union of Microbiological Societies (IUMS). Mycopathologia was founded in 1938 with the mission to ‘diffuse the understanding of fungal diseases in man and animals among mycologists’. Many of the milestones discoveries in the field of medical mycology have been communicated through the pages of this journal. Mycopathologia covers a diverse, interdisciplinary range of topics that is unique in breadth and depth. The journal publishes peer-reviewed, original articles highlighting important developments concerning medically important fungi and fungal diseases. The journal highlights important developments in fungal systematics and taxonomy, laboratory diagnosis of fungal infections, antifungal drugs, clinical presentation and treatment, and epidemiology of fungal diseases globally. Timely opinion articles, mini-reviews, and other communications are usually invited at the discretion of the editorial board. Unique case reports highlighting unprecedented progress in the diagnosis and treatment of fungal infections, are published in every issue of the journal. MycopathologiaIMAGE is another regular feature for a brief clinical report of potential interest to a mixed audience of physicians and laboratory scientists. MycopathologiaGENOME is designed for the rapid publication of new genomes of human and animal pathogenic fungi using a checklist-based, standardized format.
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