MODERN DIAGNOSIS AND COMPLEX TREATMENT OF MICROSPORIA IN ATHLETES
DOI:
https://doi.org/10.31618/ESSA.2782-1994.2021.2.72.112Keywords:
microsporia, Microsporum canis, children, athletes, diagnostics, PCR, treatment.Abstract
This study reflects the features of the clinical course of microsporia in children and adults who attended sports sections. Athletes who attended freestyle and Greco-Roman wrestling sections a typical clinical picture in the form of “athlete-wrestler's symptom” is observed: the rash was localized mainly in the right half of the head (on the right temporal, right postaural, right parietal and occipital areas), often with a migration to smooth skin on the face and neck, from 1 to 5, rounded form, with slight peeling on the surface, in the form of prints fingers. Hair in the lesion areas is broken at the level of 3-6 mm. Features of the clinical course are caused by basic techniques and holds of hands with fingers applied in these sports.
In order to improve the exact specific diagnosis of microsporia in athletes, a method of modern molecular genetic diagnostics based on polymerase chain reaction (PCR) has been developed, which allows identifying the Microsporum canis pathogen at the DNA level.
A complex method of therapy, which includes the use of probiotic-vitamin-mineral complexes “Bion 3 Kid”, “Bion 3” or probiotic-vitamin preparation “Breveluck” in combination with systemic antimycotics Griseofulvin, Terbinafine and 2% cream Sertaconazole nitrate is effective and safe in microsporia treatment in athletes. All 40 patients with microsporia have clinically and etiologically recovered as a result of treatment. Developed modern complex treatment of patients with microsporia contributed to increase in the effectiveness of treatment, prevention of microsporia recurrence, acceleration of clinical and mycological recovery, prevention of the disease of athletes with acute respiratory viral infections during their stay in sports and children's groups, even in the cold periods of year.
References
Antonova SB, Ufimtceva MA. Zabolevaemost mikrosporiei: epidemiologicheskie aspekty, sovremennye osobennosti techeniia (Rus). Pediatriya. Zhurnal imeni G. N. Speranskogo [Pediatrics. Journal of the name of GN Speranskii] (Rus). 2016; 95(2):142146.
Ahmedova SD. Prospective analysis of microbiota during dermatomycosis (Rus). Biomeditcina [Journal Biomeditcina] (Rus). 2018; 1:30-32.
Zaykov SV. Imunotropni vlastyvosti probiotykiv, vitaminiv ta mikroelementiv (Ukr). Klin. imunol. Alerhol. Infektol [Klin. immunol. Allergol. Infectol] (Ukr). 2015; 3–4:21–28.
Lavrushko SI. Clinical case and treatment of microsporia of the scalp and nail (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2020; 3(78):44-49.
Lavrushko SI. Complex treatment of microspores of hair follicles in children (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2019;1(72):65-72.
Lavrushko SI. Optimization of treatment of microsporia of scalp in children (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2019;3(74):35–44.
Lavrushko SI. Modern complex treatment of microsporia (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2019;2 (73):37–44.
Lavrushko SI, Dudchenko MO. Optimization of smooth skin microsporia treatment (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2018;3(70):43-54.
Lavrushko SI, Dudchenko MO, Pavlenko GP, Filatova VL. Modern complex treatment of microspores of smooth skin (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2018;2(69):16-22.
Lavrushko SI, Stepanenko VI. Optimization of modern complex treatment of microsporia in athletes taking into account the clinical course of dermatosis (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2020; 3(78):29-38.
Lavrushko SI, Stepanenko VI, Dudchenko MO, Pavlenko GP. Modern view on treatment of microsporia of children, taking into account the etiology, pathogenesis and features of clinical course of dermatosis (Ukr). Ukrayinsky zhurnal dermatologii, venerologii, kosmetologii [Ukrainian journal of dermatology, venereology, cosmetology] (Ukr). 2018; 4 (71):16–25.
Agarwal US, Saran J, Agarwal P. Clinicomycological study of dermatophytes in a tertiary care centre in northwest India. Indian J Dermatol Venereol Leprol. 2014; 80(2):194.
Ali-Shtayeh MS, Yaish S, Jamous RM, Arda H, Husein EI. Updating the epidemiology of dermatophyte infections in Palestine with special reference to concomitant dermatophytosis. Journal de Mycologie Medicale. 2015; 25(2):116-122.
Ameen M. Epidemiology of superficial fungal infections. Clin Dermatol. 2010; 28(2):197-201.
Balci E, Gulgun M, Babacan O, et al. Prevalence and risk factors of tinea capitis and tinea pedis in school children in Turkey. J Pak Med Assoc. 2014;64(5):514-518.
Brasch J, Wodarg S. Morphological and physiological features of Arthroderma benhamiae anamorphs isolated in northern Germany. Mycoses. 2015; 58(2):93-98.
Ciesielska A, Stączek P. Selection and validation of reference genes for qRT-PCR analysis of gene expression in Microsporum canis growing under different adhesion-inducing conditions. Scientific reports. 2018;8(1):1197.
Croxtall JD, Plosker GL. Sertaconazole: a review of its use in the management of superficial mycoses in dermatology and gynaecology. Drugs. 2009; 69(3):339-359.
Farag AGA, Hammam MA, Ibrahem RA, et al. Epidemiology of dermatophyte infections among school children in Menoufia Governorate, Egypt. Mycoses. 2018;61(5):321-325.
Kallel A, Hdider A, Fakhfakh N, et al. Tinea capitis: Main mycosis child. Epidemiological study on 10 years. J Mycol Med. 2017;27(3):345-350.
Marcoux D, Dang J, Auguste H et al. Emergence of African species of dermatophytes in tinea capitis: A 17-year experience in a Montreal pediatric hospital. Pediatr Dermatol. 2018;35(3):323328.
Mikaeili A, Kavoussi H, Hashemian AH, Shabandoost Gheshtemi M, Kavoussi R. Clinicomycological profile of tinea capitis and its comparative response to griseofulvin versus terbinafine. Curr Med Mycol. 2019; 5(1): 15-20. DOI: 10.18502/cmm.5.1.532.
Seol JE, Kim DH, Park SH, et al. A case of tinea corporis caused by Microsporum gypseum after scratch injury by a dog. Korean J Med Mycol. 2015; 20(4):109-113.
Uhrlaß S, Krüger C, Nenoff P. Microsporum canis: Current data on the prevalence of the zoophilic dermatophyte in central Germany. Hautarzt. 2015; 66(11):855-862.
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