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Zoonotic Dermatophytoses: Clinical Manifestation, Diagnosis, Etiology, Treatment, Epidemiological Situation in the Czech Republic


Authors: V. Hubka 1,2;  A. Čmoková 1,2;  A. Peano 3;  T. Větrovský 4;  R. Dobiáš 5,6;  N. Mallátová 7;  P. Lysková 6,8;  K. Mencl 9;  H. Janouškovcová 10;  J. Stará 11;  I. Kuklová 11;  J. Doležalová 12;  P. Hamal 6;  L. Svobodová 6;  J. Koubková 13;  M. Kolařík 1,2
Authors‘ workplace: Katedra botaniky, Přírodovědecká fakulta, Univerzita Karlova, Praha, vedoucí katedry doc. RNDr. Yvonne Němcová, Ph. D. 1;  Laboratoř genetiky a metabolismu hub, Mikrobiologický ústav, Akademie věd České republiky, v. v. i., Praha, vedoucí laboratoře Mgr. Miroslav Kolařík, Ph. D. 2;  Department of Veterinary Sciences, School of Veterinary Medicine, University of Turin, Turin, Italy 3;  Laboratoř environmentální mikrobiologie, Mikrobiologický ústav, Akademie věd České republiky, v. v. i., Praha, vedoucí laboratoře RNDr. Petr Baldrian, PhD. 4;  Oddělení bakteriologie a mykologie, Centrum klinických laboratoří, Zdravotní ústav se sídlem v Ostravě, vedoucí oddělení RNDr. Vladislav Holec 5;  Ústav mikrobiologie, Lékařská fakulta Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc, přednosta ústavu prof. MUDr. Milan Kolář, Ph. D. 6;  Pracoviště parazitologie a mykologie, Centrální laboratoře Nemocnice České Budějovice a. s., České Budějovice, ředitel nemocnice MUDr. Břetislav Shon 7;  Laboratoř lékařské mykologie, oddělení parazitologie, mykologie a mykobakteriologie Praha, Zdravotní ústav se sídlem v Ústí nad Labem, Praha, vedoucí oddělení Ing. Josef Čermák, Ph. D. 8;  Oddělení klinické mikrobiologie, Pardubická krajská nemocnice, a. s., Pardubice, primář oddělení MUDr. et Mgr. Eva Zálabská, Ph. D. 9;  Ústav mikrobiologie, Fakultní nemocnice Plzeň, přednosta ústavu RNDr. Karel Fajfrlík, Ph. D. 10;  Centrum pro dermatomykózy, Dermatovenerologická klinika 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice v Praze, přednosta kliniky prof. MUDr. Jiří Štork, CSc. 11;  Oddělení klinické mikrobiologie a imunologie, Centrum laboratorní medicíny, Krajská nemocnice Liberec, a. s., přednostka Centra: MUDr. Renata Procházková, Ph. D. 12;  Labvet. cz, s. r. o., veterinární laboratoř, Praha, vedoucí laboratoře MVDr. Hana Prausová 13
Published in: Čes-slov Derm, 93, 2018, No. 6, p. 208-235
Category: Reviews (Continuing Medical Education)

Overview

Zoophilic dermatophytes are the most important agents of the superficial mycoses in domestic and farm animals, and are often transmitted to humans. This group includes approximately ten specialized parasitic fungi belonging to the genera Trichophyton and Microsporum. While infections in animals have often mild symptoms or are asymptomatic, human infections typically ma­nifest as highly inflammatory infections of skin or hairy parts of the head. The children are the most frequently affected group. The aim of this review is to provide a comprehensive interdisciplinary overview of the clinical picture and diagnostic methods of these infections in human and domestic animals, and to summarize available data on the main causal agents and their prevalence in animals. This knowledge is essential for understanding the dynamic of the disease transmission and the local and global epidemiological situation. Separate subchapters are focused on treatment of zoonotic infections and prevention of their spread. An epidemiological analysis of 2361 tinea corporis cases (1004 of zoonotic origin) and 79 tinea capitis cases (60 zoonotic) diagnosed during five-year study in Czech patients is presented.

Keywords:

Microsporum canis – tinea capitis – tinea corporis – Trichophyton benhamiae – zoophilic dermatophytes


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