Sportassoziierte Dermatophytosen

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• 作者：Prof. Dr. P. Mayser ; W. Handrick ; P. Nenoff
• 关键词：SchlüsselwörterInfektionen ; Sportler ; Tinea gladiatorum ; Trichophyton tonsurans ; Tinea pedis
• 刊名：Der Hautarzt
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：67
• 期：9
• 页码：680-688
• 全文大小：1,169 KB
• 刊物主题：Dermatology; Immunology; Allergology; Proctology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1432-1173
• 卷排序：67

文摘

Because of high exposure (e. g. swimmers and athletes competing on mats) and disposition (e. g. microtraumata of the skin in runners) athletes are prone to a higher risk for mycotic infections by dermatophytes. In disciplines with close contact during competition—especially wrestlers and judoists—infections by the anthropophilic Trichophyton (T.) tonsurans are most important (tinea gladiatorum). These infections are highly contagious and often cause small epidemics especially if the primary source of infection is not promptly recognized. The environment of the athletes (e. g. mats) and asymptomatic carriers may be sources of further spread. Tinea pedis with its clinical manifestations seems to be often underdiagnosed and insufficiently treated. Environmental contamination by fungal spores may be responsible for the significantly higher level of mycotic infections of the feet in children and adolescents active in sports. There is a higher risk for spread of the infection to the toe nails (onychomycosis) and for consecutive infections by bacteria (e. g. erysipelas). More rarely infections by zoophilic or geophilic dermatophytes are seen in athletes (e.g. equestrians). Education and more intensive measures of prevention and environmental decontamination are essential for all dermatophytoses associated with sports.