Saudi Journal of Pathology and Microbiology (SJPM)
Volume-6 | Issue-12 | 470-474
Original Research Article
Tinea Capitis: Experience of the Parasitology Mycology Department at the Avicenna Military Hospital in Marrakesh: 4 year Review (2016—2019)
ELGHOUAT Ghita, SBAI Mohamed, LAZRAK Fatima-Zahrae, EL MEZOUARI El Mustapha, MOUTAJ Redouane
Published : Dec. 26, 2021
Abstract
Introduction and objectives: Tinea capitis are benign cosmopolitan mycoses caused by dermatophytes. They are frequent in developing countries including Morocco. The objective of this work is to study the epidemiological and clinical profile of this pathology at the Avicenna military hospital in Marrakesh. Patients and methods: This is a retrospective study over a period of 4 years (1st January 2016 to 31st August 2019) on 193 suspected ringworm of the scalp consulting the Parasitology Mycology department at the Avicenna military hospital in Marrakesh. All patients underwent direct hair examination, supplemented by culture. Results: The direct examination and the culture made it possible to conclude with a tinea capitis in 112 patients, i.e. an overall prevalence of 58%. The average age of our patients was 7.2 years, with a predominance of men (male / female sex ratio: 3.48). %). The notion of contact with animals was found in 38% of cases. The culture, positive in 78.58% of cases, allowed the isolation and identification of 8 species of dermatophytes: Microsporum (M) canis was the predominant species (71.59%), followed by Trichophyton (T) violaceum (11, 36%), T. mentagrophytes (10.22%), T.rubrum (2.27%), T. verrucosum, T. tonsurans, M. audouinii and T. schoenleinii with a percentage of 1.14% each. We confirm by our study that ringworms are the prerogative of school-aged children. Zoophilic dermatophytes are becoming more and more frequent. This change could be related to a modification of the behavior of the population which adopts more domestic animals. Conclusion: Tinea capitis are a public health problem in Morocco. Mycological examination is essential to make the diagnosis and identify the agents responsible for tinea capitis, thus allowing better therapeutic management.