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Updated: May 13, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Tinea capitis in schoolchildren in southern Ivory Coast
Kassi Kondo Fulgence1, Konate Abibatou, Djohan Vincent
1Department of Parasitology and Mycology, University of Cocody, Abidjan, Cote d'Ivoire. kasful2000@yahoo.fr
Objectives:
Fungal infections of the scalp commonly affect the pediatric population. These infections are caused by dermatophytes that are able to invade the keratinized structures of skin, hair, and nails. This study aimed to analyze the epidemiology of fungal scalp infections in southern Ivory Coast during 2008-2009.
Methods:
From October 2008 to July 2009, 17,745 children ranging in age from 4-16 years, attending urban and rural primary schools in seven towns in Ivory Coast, were examined clinically for tinea capitis. Hair stumps and scales were collected from children who showed symptoms suggestive of scalp ringworm. Samples were exposed to direct microscopic examination using 30% potassium hydroxide solution and cultivation on Sabouraud's dextrose agar with or without actidione.
Results:
Of the 17,745 children who were clinically examined, a total of 2645 exhibited symptoms suggestive of scalp ringworm. Positive cultures for fungi were found in 2458, yielding an overall prevalence of tinea capitis of 13.9%. The majority of infections occurred in males (74.0%). The most commonly affected age group involved children ranging from 9-12 years (n = 1335, 54.3%), followed by those in the range of 4-8 years (n = 936, 38.1%). Trichophyton soudanense, Microsporum langeronii, and Trichophyton mentagrophytes were the most prevalent etiologic agents (56.7%, 21.4% and 19.7%, respectively). Other species were occasionally isolated, including Trichophyton violaceum (1.4%) and Trichophyton rubrum (0.8%).
Conclusions:
Epidemiological surveys are an essential tool for developing strategies for infection control.
Insights
Tinea capitis, a fungal scalp infection, affected 13.9% of children in southern Ivory Coast. Trichophyton soudanense was the most common cause, highlighting the need for infection control strategies.
Area of Science:
- Dermatology
- Mycology
- Epidemiology
Background:
- Fungal scalp infections, known as tinea capitis, are prevalent in pediatric populations.
- These infections are caused by dermatophytes that invade keratinized structures like hair and skin.
Purpose of the Study:
- To analyze the epidemiology of fungal scalp infections in southern Ivory Coast.
- To identify the prevalence, common age groups, and primary etiologic agents of tinea capitis.
Main Methods:
- Clinical examination of 17,745 children aged 4-16 years in seven towns.
- Collection of hair and scale samples from symptomatic children for microscopic and culture analysis.
- Use of potassium hydroxide solution and Sabouraud's dextrose agar for fungal identification.
Main Results:
- An overall prevalence of 13.9% for tinea capitis was found, with 2458 positive fungal cultures.
- Infections were more common in males (74.0%) and children aged 9-12 years (54.3%).
- The most prevalent fungal agents were Trichophyton soudanense (56.7%), Microsporum langeronii (21.4%), and Trichophyton mentagrophytes (19.7%).
Conclusions:
- Epidemiological data are crucial for developing effective infection control strategies.
- Understanding the prevalence and causative agents of tinea capitis informs public health interventions.
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