[Course of the dermatophytic spectrum in XXXX . Apropos of 124 cases seen in Bordeaux].

@entity1 @entity4014 @entity281 @entity3100 @entity468 @entity14476
The purpose of this study was to evaluate the epidemiology of @entity3100 in the Bordeaux area (Dermatology Unit of the H  pital des Enfants, Bordeaux) during a 6-year period (January, 1979 to December, 1984). @entity281 of the hair was proven by culture in 124 @entity1 , 21 of whom had a negative @entity4014 direct examination. Age and sex distribution are shown in figure 1. One case was observed in a 15 days old @entity1 , and 4 cases in adult females (3 young black mothers of affected @entity1 , 1 elderly white @entity1 ). Table I indicates the geographical origin of the @entity1 and the isolates identified. The incidence of anthropophilic dermatophytes has increased from 13 p. 100 to 50 p. 100 since our previous survey (1975-1978). M. langeronii (29 cases), T. soudanense (19 cases) and T. violaceum (10 cases) were isolated mostly among African immigrants from Western tropical Africa and the Maghreb. However, 4 @entity1 of French origin without any history of previous sojourn in endemic areas developed @entity3100 due to M. langeronii; the source of contamination could not be determined. Zoophilic dermatophyte infection was mainly caused by @entity14476 (50 cases), with @entity468 being the most frequent source of contamination. Family cases were frequent: 64 corresponding to 28 families. This may be due to either interhuman contamination or the presence of a contact pet animal in the family. The discussion is focused on: the shift in dermatophytic isolates from @entity3100 toward anthropophilic species, notably M. langeronii, mainly caused by an increased immigration from West Africa; the relevant clinical and mycological correlations.(ABSTRACT TRUNCATED AT 250 WORDS)
