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[Sports-associated dermatophytoses : An overview]
P Mayser1, W Handrick2, P Nenoff3
1, Hofmannstr. 11, 35444, Biebertal, Deutschland. peter.mayser@derma.med.uni-giessen.de.
Summary
Athletes face a higher risk of fungal infections, particularly dermatophytoses like tinea gladiatorum and tinea pedis, due to exposure and skin microtraumata. Prevention and environmental decontamination are crucial for managing these contagious sports-related mycoses.
Area of Science:
- Dermatology
- Sports Medicine
- Mycology
Background:
- Athletes have increased susceptibility to mycotic infections from dermatophytes due to high exposure and skin microtraumata.
- Close-contact sports like wrestling and judo are particularly prone to contagious infections caused by Trichophyton tonsurans (tinea gladiatorum).
- Environmental factors, including contaminated mats and asymptomatic carriers, contribute to the spread of dermatophytoses among athletes.
Purpose of the Study:
- To highlight the prevalence and risks of dermatophyte infections in athletes.
- To emphasize the importance of recognizing and treating conditions like tinea pedis.
- To discuss the potential for secondary bacterial infections and onychomycosis.
Main Methods:
- Review of existing literature on fungal infections in athletic populations.
- Analysis of risk factors associated with different sports disciplines.
- Identification of common pathogens and transmission routes.
Main Results:
- Athletes are at higher risk for tinea pedis, often underdiagnosed and undertreated, with environmental contamination playing a role in children and adolescents.
- Tinea gladiatorum is a significant concern in close-contact sports, leading to potential epidemics.
- Increased risk of onychomycosis and secondary bacterial infections like erysipelas exists, with rare cases of zoophilic/geophilic dermatophyte infections.
Conclusions:
- Education, enhanced prevention strategies, and environmental decontamination are essential for controlling dermatophytoses in sports.
- Prompt recognition and treatment of primary infections are vital to prevent outbreaks.
- Addressing underdiagnosed conditions like tinea pedis is critical for athlete health.
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