摘要
目的通过对生活在同一家庭患有体癣的患者、家庭成员和所养宠物进行观察和分析,探讨人畜共患癣病的常见致病菌种以及治疗方案。方法收集2005年3月～2009年1月就诊于我院因接触宠物而致病的体癣患者,对其宠物的带菌情况进行调查,确诊后给予外用特比萘芬乳膏或联苯苄唑凝胶,未愈者给予口服伊曲康唑治疗。结果共收集15例患者,真菌培养结果显示8例为石膏样小孢子菌,4例为须癣毛癣菌,3例为犬小孢子菌。患者皮损真菌培养结果和所养宠物皮损真菌培养结果一致。按上述方法对患者及其宠物进行治疗,所有患者和10只(3只被丢弃)宠物全部治愈。结论 15例人畜共患体癣中,石膏样小孢子菌感染所致的比例最高,其次是须癣毛癣菌和犬小孢子菌,外用特比萘芬乳膏或联苯苄唑凝胶以及口服伊曲康唑胶囊可以有效治疗此类人畜共患皮肤癣菌病。
Objective To investigate the patients with dermatophytosis transmitted from pets in the same family,and to explore the common pathogenic fungi and effective treatment. Methods Patients with tinea corporis in our hospital from March 2005 to January 2009 were recruited,and the fungi in their pets were investigated. Terbinafine cream or bifonazole gel was administered while oral itraconazole was given to those who were not cured. Results A total of 15 patients were recruited,including 8 Microsporum gypseum ,4 Trichophyton mentagrophyt and 3 Microsporum canis as pathogenic fungi identified by culture. All the patients and their pets shared the same pathogen who were cured by antifungal treatment,except 3 pets were discarded. Conclusions Microsporum gypseum is the most common pathogen in these cases,followed by Trichophyton mentagrophyte and Microsporum canis . Topical treatment of terbinafine cream or bifonazole gel and oral itraconazole are effective to the pet-transmitted dermatophytosis.
出处
《中国真菌学杂志》
2010年第3期154-157,共4页
Chinese Journal of Mycology
关键词
体癣
人畜共患
石膏样小孢子菌
须癣毛癣菌
犬小孢子菌
dermatophytosis
pet-transmitted
Microsporum gypseum
Trichophyton mentagrophyt
Microsporum canis
