[Shifts in the species spectrum of mycoses in The Netherlands from 1970-1990]

A review is presented of yeast and mould infections occurring in humans in the Netherlands. The occurrence of the dermatophytes Trichophyton rubrum and T. mentagrophytes tends to increase, while Microsporum canis and particularly Epidermophyton floccosum have become less common. The yeast Candida glabrata is particularly often involved in infections of the urinary tract. Candida krusei, C. parapsilosis and C. tropicalis have become less significant. Remarkable differences are found between the spectra of Aspergillus species causing infections in lungs and in ears; an entirely different pathogenesis is to be presumed. The number of systemic mycoses in the Netherlands is underestimated. The possibility of hundreds of cases each year cannot be excluded.