An outbreak of tinea corporis gladiatorum on a high school wrestling team

M Beller1, B D Gessner

  • 1Section of Epidemiology, Alaska Division of Public Health, Anchorage 99524.

Abstract

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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