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Emergence of sporotrichosis in Manipur
K R Devi1, M U Devi, T N Singh
1Department of Microbiology, Regional Institute of Medical Sciences, Manipur - 795 004, India. ranjanakhu@rediffmail.com
Abstract:
A retrospective analysis of all cases of sporotrichosis was conducted to examine the pattern and frequency of sporotrichosis cases in Manipur over a period of six year from July 1999 to June 2005. Seventy-three (73) cases of sporotrichosis were detected of which 30 were confirmed by culture and 43 were diagnosed by aspiration cytology only. Most of the patients belonged to the age group of 21 to 40 years (n = 23; 31.5%). There were 39 females (53.4%) and 34 males (46.5%). Commonest site of infection was upper limbs (n = 39; 53.4%) followed by lower limbs (n = 17; 23.2%). Commonest type of infection was lymphocutaneous form (n = 46; 63.1%) followed by fixed cutaneous form (n = 27; 36.9%). Among these 73 cases, 2 male patients (2.7%) were found to be HIV positive. In our experience, collection of material by aspiration of pus or infected tissue was found to be a better method compared to scraping or exudate. This study revealed Manipur as a new endemic area for sporotrichosis.
Insights
This study identified Manipur as a new endemic area for sporotrichosis, a fungal infection. Researchers analyzed 73 cases, finding lymphocutaneous and fixed cutaneous forms most common, primarily affecting upper limbs in adults.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Epidemiology
Background:
- Sporotrichosis is a fungal infection caused by Sporothrix schenckii.
- The disease typically presents in lymphocutaneous or fixed cutaneous forms.
- Geographical distribution and endemicity patterns are crucial for understanding disease prevalence.
Purpose of the Study:
- To investigate the epidemiological patterns and frequency of sporotrichosis in Manipur.
- To identify common clinical forms and affected body sites.
- To determine the significance of Manipur as a potential endemic region for sporotrichosis.
Main Methods:
- A retrospective analysis of 73 sporotrichosis cases from July 1999 to June 2005 in Manipur.
- Case confirmation through culture (30 cases) and diagnosis via aspiration cytology (43 cases).
- Data collection included patient demographics, infection site, clinical type, and HIV status.
Main Results:
- Manipur emerged as a new endemic area for sporotrichosis.
- The majority of patients were aged 21–40 years, with a slight female predominance (53.4%).
- Upper limbs were the most common infection site (53.4%), with lymphocutaneous (63.1%) and fixed cutaneous (36.9%) forms predominating. Two HIV-positive cases (2.7%) were identified.
Conclusions:
- The study establishes Manipur as a new endemic region for sporotrichosis.
- Aspiration cytology is an effective diagnostic method for sporotrichosis.
- Understanding the epidemiology of sporotrichosis is vital for public health interventions in endemic areas.
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