Tropen- und Reise-assoziierte Dermatomykosen

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• 作者：Prof. Dr. P. Nenoff ; D. Reinel ; C. Krüger ; H. Grob ; P. Mugisha ; A. Sü?…
• 关键词：Tropendermatologie ; Reisedermatologie ; Trichophyton ; Tinea ; Ausbrüche ; Tropical dermatology ; Travel dermatolgy ; Trichophyton ; Tinea ; Epidemics
• 刊名：Der Hautarzt
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：66
• 期：6
• 页码：448-458
• 全文大小：1,127 KB
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• 作者单位：Prof. Dr. P. Nenoff (1)
  D. Reinel (2)
  C. Krüger (1)
  H. Grob (3)
  P. Mugisha (4)
  A. Sü? (5)
  P. Mayser (6)
  
  1. Haut- und Laborarzt/Allergologie, Andrologie, T?tigkeitsschwerpunkt: Tropen- und Reisedermatologie (DDA), Labor für medizinische Mikrobiologie, Partnerschaft Prof. Dr. med. Pietro Nenoff & Dr. med. Constanze Krüger, Stra?e des Friedens 8, 04579, M?lbis, Deutschland
  2. Basselweg 101A, 22527, Hamburg, Deutschland
  3. Praxis Reinacherhof, 4153, Reinach, Basel-Landschaft, Schweiz
  4. Department of Dermatology, Skin Clinic, Mbarara University of Science and Technology, Mbarara, Uganda
  5. Gemeinschaftspraxis Allgemeinmedizin und Dermatologie, Kurfürstenstra?e 23a, 54616, Wittlich, Deutschland
  6. Zentrum für Dermatologie der Justus-Liebig-Universit?t, Gaffkystra?e 14, 35385, Gie?en, Deutschland
  
• 刊物主题：Dermatology; Immunology; Allergology; Proctology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1432-1173

文摘

Today, tropical and travel-related dermatomycoses must be increasingly anticipated to present in dermatological offices and clinics. Skin infections due to dermatophytes or other fungi may occur after a journey in countries with a high prevalence for the respective causative fungal pathogen, e.g., tinea corporis due to Trichophyton soudanense. Otherwise, more frequently, single infections and even localized outbreaks due to “exotic-or “imported-pathogens of dermatophytoses occur. These epidemics are observed in childcare facilities in Germany and in other European countries. Source of infection are immigrants from Africa and sometimes from Asian countries. Furthermore, African children, and sometimes also adults, are often only asymptomatic carriers of such anthropophilic dermatophytes. Outbreaks of dermatophyte infections with one and more affected children and also adult staff and teachers due to Trichophyton violaceum or Microsporum audouinii in kindergartens and schools are not a rarity these days. Further tropical and travel-associated dermatophytes are Trichophyton tonsurans, Trichophyton schoenleinii, and Trichophyton concentricum. Tinea capitis should be treated in a species-specific manner. Griseofulvin is the treatment of choice for infections due to Microsporum species. In contrast, tinea capitis due to Trichophyton species has to be treated by terbinafine, however, because the agent is not approved for children in Germany, only after receiving written consent of parents. Alternatives are fluconazole and itraconazole. Onset and aggravation of tinea pedis during travel has its origin in a preexisting neglected fungal infection of the feet. In the tropics, exacerbations and secondary bacterial complications of tinea pedis develop under distinctly promoting conditions.