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Onychomycosis infections in the Middle Black Sea Region, Turkey
Gülgün Yenişehirli1, Yunus Bulut, Engin Sezer
1Department of Microbiology, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey. gulguny@gop.edu.tr
Background:
Onychomycosis, a fungal infection of the nail, is caused by dermatophytes, yeasts, and nondermatophyte molds. The causative pathogen and incidence of onychomycosis depend on age, gender, geographic and climatic conditions, living habits, and immune status of the host.
Aim:
To determine the incidence and etiologic agents of onychomycosis in the Middle Black Sea Region, Turkey.
Methods:
Two hundred and seventy-six specimens were collected from patients with suspected onychomycosis during January 2004 to May 2008.
Results:
Culture positivity was obtained in 240 of the 276 samples. Dermatophytes were isolated in 225 samples. The most common causative agent of onychomycosis was Trichophyton rubrum (91) (38%), followed by Trichophyton mentagrophytes (49) (20.4%), Epidermophyton floccosum (41) (17%), and Trichophyton verrucosum (34) (14.2%). Seven isolates were identified as yeasts (2.9%). Nondermatophyte molds were isolated from eight samples (3.3%).
Conclusions:
This survey reveals that the etiologic agents of onychomycosis in our area show large discrepancies from those in other regions of Turkey and Europe.
Insights
Onychomycosis (fungal nail infection) in Turkey is primarily caused by dermatophytes, with Trichophyton rubrum being the most common agent. Etiologic agents identified in this region differ significantly from other European and Turkish areas.
Area of Science:
- Medical Mycology
- Dermatology
- Infectious Diseases
Background:
- Onychomycosis is a common fungal nail infection caused by dermatophytes, yeasts, and molds.
- The prevalence and specific pathogens vary based on host factors and environment.
Purpose of the Study:
- To investigate the incidence and identify the causative agents of onychomycosis.
- Focus on the Middle Black Sea Region of Turkey.
Main Methods:
- Collected 276 nail specimens from patients with suspected onychomycosis.
- Utilized fungal culture and identification techniques.
Main Results:
- Achieved 87% culture positivity (240/276 samples).
- Dermatophytes were the predominant pathogens (225/240), with Trichophyton rubrum (38%) as the most frequent isolate.
- Yeasts and nondermatophyte molds were less common.
Conclusions:
- The spectrum of onychomycosis-causing agents in the Middle Black Sea Region shows significant divergence from other Turkish and European regions.
- Highlights the need for regional epidemiological data in diagnosing and treating fungal nail infections.
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