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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tinea capitis affects mainly children&#46; The frequency and causative organism vary from region to region&#46;</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">To provide epidemiological and mycological data on tinea capitis collected in urban and rural areas of the Dominican Republic&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Samples were obtained from 118 patients with tinea capitis&#46; Sixty-three of these were from 2 schools in urban areas of the Dominican capital Santo Domingo &#40;53&#37;&#41; and 55 were from rural schools on the border with Haiti &#40;47&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The study included 84 boys &#40;71&#46;18&#37;&#41; and 34 girls &#40;28&#46;81&#37;&#41;&#46; The urban sample comprised mainly boys &#40;84&#46;12&#37;&#41;&#46; The most represented age ranges were 6 to 8 years &#40;47&#46;45&#37;&#41;&#44; 3 to 5 years &#40;24&#46;59&#37;&#41;&#44; and 9 to 11 years &#40;16&#46;94&#37;&#41;&#46; <span class="elsevierStyleItalic">Microsporum audouinii</span> &#40;39&#46;68&#37;&#41;&#44; <span class="elsevierStyleItalic">Trichophyton tonsurans</span> &#40;23&#46;80&#37;&#41;&#44; <span class="elsevierStyleItalic">Microsporum canis</span> &#40;19&#46;04&#37;&#41;&#44; and <span class="elsevierStyleItalic">Trichophyton violaceum</span> &#40;1&#46;58&#37;&#41; were isolated from children in urban areas&#44; whereas <span class="elsevierStyleItalic">T&#46; tonsurans</span> &#40;87&#37;&#41; and <span class="elsevierStyleItalic">Trichophyton mentagrophytes</span> &#40;2&#37;&#41; were isolated from those in rural areas&#46; Overall&#44; <span class="elsevierStyleItalic">T&#46; tonsurans</span> &#40;61&#46;16&#37;&#41;&#44; <span class="elsevierStyleItalic">M&#46; audouinii</span> &#40;24&#46;27&#37;&#41;&#44; and <span class="elsevierStyleItalic">M canis</span> &#40;11&#46;65&#37;&#41; were the most frequently isolated causative organisms&#44; whereas <span class="elsevierStyleItalic">T&#46; violaceum</span> and <span class="elsevierStyleItalic">T&#46; mentagrophytes</span> were rarely reported&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In urban areas of the Dominican Republic&#44; tinea capitis was found mainly in boys&#44; but in rural areas it was evenly distributed among boys and girls&#46; The emergence of <span class="elsevierStyleItalic">M&#46; audouinii</span> and an increase in <span class="elsevierStyleItalic">T&#46; tonsurans</span> were found while <span class="elsevierStyleItalic">M&#46; canis</span> continued to be present at lower frequencies&#46; On the rural border with Haiti&#44; there was a significant predominance of <span class="elsevierStyleItalic">T&#46; tonsurans</span>&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Las ti&#241;as de la cabeza predominan en los ni&#241;os&#44; con una frecuencia y etiolog&#237;a variables en diferentes partes del mundo&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Comunicar los datos epidemiol&#243;gicos y micol&#243;gicos de ti&#241;a del cuero cabelludo observados en la zona urbana y rural de la Rep&#250;blica Dominicana&#46;</p> <span class="elsevierStyleSectionTitle">Metodolog&#237;a</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 118 muestras de pacientes con diagn&#243;stico de ti&#241;a de la cabeza en la Rep&#250;blica Dominicana&#44; 63 de dos escuelas urbanas en la capital Santo Domingo &#40;53&#37;&#41; y 55 de escuelas rurales en la frontera dominico-haitiana &#40;47&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 84 varones &#40;71&#44;18&#37;&#41; y 34 mujeres &#40;28&#44;81&#37;&#41;&#46; En la zona urbana predomin&#243; en los varones &#40;84&#44;12&#37;&#41;&#46; La edad con mayores porcentajes fue entre 6 y 8 a&#241;os &#40;47&#44;45&#37;&#41;&#44; de 3 y 5 a&#241;os &#40;24&#44;59&#37;&#41; y 9 y 11 a&#241;os &#40;16&#44;94&#37;&#41;&#46; En la zona urbana se aislaron <span class="elsevierStyleItalic">M&#46; audouinii</span> &#40;39&#44;68&#37;&#41;&#44; <span class="elsevierStyleItalic">T&#46; tonsurans</span> &#40;23&#44;80&#37;&#41;&#44; <span class="elsevierStyleItalic">M&#46; canis</span> &#40;19&#44;04&#37;&#41; y <span class="elsevierStyleItalic">T&#46; violaceum</span> &#40;1&#44;58&#37;&#41; y en la zona rural <span class="elsevierStyleItalic">T&#46; tonsurans</span> &#40;87&#37;&#41; y <span class="elsevierStyleItalic">T&#46; mentagrophytes</span> &#40;2&#37;&#41; y globalmente <span class="elsevierStyleItalic">T&#46; tonsurans</span> &#40;61&#44;16&#37;&#41;&#44; <span class="elsevierStyleItalic">M&#46; audouinii</span> &#40;24&#44;27&#37;&#41; y <span class="elsevierStyleItalic">M&#46; canis</span> &#40;11&#44;65&#37;&#41; y rara vez <span class="elsevierStyleItalic">T&#46; violaceum</span> y <span class="elsevierStyleItalic">T&#46; mentagrophytes</span>&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">En la Rep&#250;blica Dominicana&#44; en la zona urbana&#44; la ti&#241;a de la cabeza predomina en los varones y en la zona rural tiene una frecuencia similar en ambos sexos&#46; Se detect&#243; una emergencia por <span class="elsevierStyleItalic">M&#46; audouinii</span>&#44; un incremento de <span class="elsevierStyleItalic">Trichophyton tonsurans&#44;</span> y una estabilidad con frecuencia m&#225;s baja de <span class="elsevierStyleItalic">M&#46; canis</span>&#46; En la zona rural y la frontera con Hait&#237; hay un predominio significativo de <span class="elsevierStyleItalic">T&#46; tonsurans</span>&#46;</p>"
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Vol. 101. Núm. 4.
Páginas 330-335 (mayo 2010)
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Vol. 101. Núm. 4.
Páginas 330-335 (mayo 2010)
Original article
Acceso a texto completo
Emergence of Microsporum audouinii and Trichophyton tonsurans as Causative Organisms of Tinea Capitis in the Dominican Republic
Tinea capitis. Emergencia de Microsporum audouinii y Trichophyton tonsurans en la República Dominicana
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Corresponding author.
, E. Torresa, M. Amayab, E.R. Riverab, A. Espinalb, M. Polancob, R. Fernándeza, R. Isa-Isab
a Sección de Micología, Departamento de Dermatología, Hospital General Dr. Manuel Gea González, Mexico
b Instituto Dermatológico y Cirugía de Piel Dr. Huberto Bogaert Díaz, Santo Domingo, Dominican Republic
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Abstract
Background

Tinea capitis affects mainly children. The frequency and causative organism vary from region to region.

Objectives

To provide epidemiological and mycological data on tinea capitis collected in urban and rural areas of the Dominican Republic.

Methods

Samples were obtained from 118 patients with tinea capitis. Sixty-three of these were from 2 schools in urban areas of the Dominican capital Santo Domingo (53%) and 55 were from rural schools on the border with Haiti (47%).

Results

The study included 84 boys (71.18%) and 34 girls (28.81%). The urban sample comprised mainly boys (84.12%). The most represented age ranges were 6 to 8 years (47.45%), 3 to 5 years (24.59%), and 9 to 11 years (16.94%). Microsporum audouinii (39.68%), Trichophyton tonsurans (23.80%), Microsporum canis (19.04%), and Trichophyton violaceum (1.58%) were isolated from children in urban areas, whereas T. tonsurans (87%) and Trichophyton mentagrophytes (2%) were isolated from those in rural areas. Overall, T. tonsurans (61.16%), M. audouinii (24.27%), and M canis (11.65%) were the most frequently isolated causative organisms, whereas T. violaceum and T. mentagrophytes were rarely reported.

Conclusions

In urban areas of the Dominican Republic, tinea capitis was found mainly in boys, but in rural areas it was evenly distributed among boys and girls. The emergence of M. audouinii and an increase in T. tonsurans were found while M. canis continued to be present at lower frequencies. On the rural border with Haiti, there was a significant predominance of T. tonsurans.

Keywords:
Tinea capitis
Microsporum audouinii
Microsporum canis
Trichophyton tonsurans
Resumen
Antecedentes

Las tiñas de la cabeza predominan en los niños, con una frecuencia y etiología variables en diferentes partes del mundo.

Objetivos

Comunicar los datos epidemiológicos y micológicos de tiña del cuero cabelludo observados en la zona urbana y rural de la República Dominicana.

Metodología

Se estudiaron 118 muestras de pacientes con diagnóstico de tiña de la cabeza en la República Dominicana, 63 de dos escuelas urbanas en la capital Santo Domingo (53%) y 55 de escuelas rurales en la frontera dominico-haitiana (47%).

Resultados

Se estudiaron 84 varones (71,18%) y 34 mujeres (28,81%). En la zona urbana predominó en los varones (84,12%). La edad con mayores porcentajes fue entre 6 y 8 años (47,45%), de 3 y 5 años (24,59%) y 9 y 11 años (16,94%). En la zona urbana se aislaron M. audouinii (39,68%), T. tonsurans (23,80%), M. canis (19,04%) y T. violaceum (1,58%) y en la zona rural T. tonsurans (87%) y T. mentagrophytes (2%) y globalmente T. tonsurans (61,16%), M. audouinii (24,27%) y M. canis (11,65%) y rara vez T. violaceum y T. mentagrophytes.

Conclusiones

En la República Dominicana, en la zona urbana, la tiña de la cabeza predomina en los varones y en la zona rural tiene una frecuencia similar en ambos sexos. Se detectó una emergencia por M. audouinii, un incremento de Trichophyton tonsurans, y una estabilidad con frecuencia más baja de M. canis. En la zona rural y la frontera con Haití hay un predominio significativo de T. tonsurans.

Palabras clave:
Tina del cuero cabelludo
Microsporum audouinii
M. canis
Trichophyton tonsurans
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