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Published on: December 15, 2011
An outbreak of tinea corporis gladiatorum on a high school wrestling team
1Section of Epidemiology, Alaska Division of Public Health, Anchorage 99524.
Background:
An outbreak of tinea corporis occurred in members of a high school wrestling team during the 1992-1993 season.
Objective:
To control the outbreak, we conducted an epidemiologic investigation.
Methods:
We examined 28 team members and obtained skin scrapings from 16. To control the outbreak we recommended (1) griseofulvin for 1 month to treat persons with more than two lesions or any facial lesion(s) and topical ketoconazole or econazole for 1 month to treat all others and (2) that wrestlers be excluded from wrestling until 10 days of topical treatment or 15 days of oral treatment had been completed.
Results:
Twenty-one wrestlers had lesions consistent with tinea corporis and 10 had Trichophyton tonsurans infection confirmed by culture. A new eruption developed in 12 wrestlers after the recommendations were implemented.
Conclusion:
This is the third and largest outbreak of tinea corporis gladiatorum to be described in the United States. Appropriate control measures have not yet been established.
Insights
An outbreak of tinea corporis gladiatorum affected a high school wrestling team. Despite treatment and exclusion recommendations, new infections occurred, indicating a need for better control measures.
Area of Science:
- Dermatology
- Epidemiology
- Infectious Diseases
Background:
- An outbreak of tinea corporis, a fungal skin infection, occurred among a high school wrestling team during the 1992-1993 season.
- This condition is commonly known as tinea corporis gladiatorum in athletic populations.
Purpose of the Study:
- To investigate the epidemiology of the tinea corporis outbreak within the wrestling team.
- To identify effective control and treatment strategies for tinea corporis gladiatorum in an athletic setting.
Main Methods:
- Epidemiologic investigation involving examination of 28 high school wrestlers.
- Collection of skin scrapings from 16 affected individuals for laboratory analysis.
- Implementation of treatment protocols including oral griseofulvin and topical ketoconazole or econazole, alongside wrestler exclusion periods.
Main Results:
- Twenty-one wrestlers presented with lesions indicative of tinea corporis.
- Fungal cultures confirmed Trichophyton tonsurans infection in 10 wrestlers.
- A recurrence or new eruption of lesions was observed in 12 wrestlers despite the implemented control measures.
Conclusions:
- This represents the third and largest reported outbreak of tinea corporis gladiatorum in the United States.
- Current control measures appear insufficient, highlighting the need for further research into effective management strategies for this condition in wrestlers.
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