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Epidemiological characterization of pityriasis versicolor and distribution of Malassezia species among students in Hai Phong city, Vietnam.


ABSTRACT:

Background and purpose

Pityriasis versicolor (PV) is a common fungal skin infection caused by Malassezia species. Previous studies have shown that the prevalence of PV is influenced by geographic factors. The aim of the current study was to find the epidemiological characteristics of PV and distribution of Malassezia species in the secondary school students living in Hai Phong city, Vietnam.

Materials and methods

This study was conducted on 1357 students within the age range of 10 - 16 years selected from four secondary schools in Hai Phong city. The students were screened for PV skin lesions from August 2016 to December 2017. The isolates of Malassezia from PV patients were analyzed by performing direct microscopy and culturing on modified Dixon agar plates, containing gentamicin, at 32oC for 7 days. In the next stage, the fungal strains obtained from patients with positive fungal cultures were identified using the CHROMagarTM Malassezia medium, polymerase chain reaction-restriction fragment length polymorphism techniques, and D1/D2 rDNA genome sequencing.

Results

Pityriasis versicolor was diagnosed in 305 (22.48%) students and confirmed by clinical appearance and direct examination. A total of 293 (96.07%) samples grew on modified Dixon agar. With regard to demographic characteristics, 50.49% of the PV cases were female, and 57.38% of cases resided in urban areas. Furthermore, 88.52% of the subjects had the illness duration of more than 6 months. Hypopigmented and erythematous skin lesions were also observed in the research participants, with hypopigmentation being the most frequent condition (97.05%). Most of the Malassezia fungal strains were isolated from the back (39.56%), face (23.99%), and chest (16.51%). Malassezia furfur and M. japonica accounted for PV in 96.25% and 3.75% of the cases, respectively. Furthermore, Malassezia furfur was distributed in both rural and urban areas, while M. japonica was found only in the urban areas.

Conclusion

The findings of the present study were indicative of the high prevalence of Malassezia yeasts, mostly M. furfur, among the students in Hai Phong city, Vietnam.

SUBMITTER: Duy Nguyen B 

PROVIDER: S-EPMC7888515 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Epidemiological characterization of pityriasis versicolor and distribution of <i>Malassezia</i> species among students in Hai Phong city, Vietnam.

Duy Nguyen Bac B   Thi Thanh Vo Hien H   Dinh Thi Thanh Mai M   Van Vu Thai T   Thi Thanh Lai Thuy T   Thi Nguyen Mui M   Thi Hong Bui Anh A   Van Trinh Khuong K   Ba Cao Loi L   Tien Trieu Sang S   Thi Kim Le Dung D   Cao Hoang Sa S   Tran Le Anh A   Khac Nguyen Luc L   Ngoc Do Anh A  

Current medical mycology 20200601 2


<h4>Background and purpose</h4>Pityriasis versicolor (PV) is a common fungal skin infection caused by <i>Malassezia</i> species. Previous studies have shown that the prevalence of PV is influenced by geographic factors. The aim of the current study was to find the epidemiological characteristics of PV and distribution of <i>Malassezia</i> species in the secondary school students living in Hai Phong city, Vietnam.<h4>Materials and methods</h4>This study was conducted on 1357 students within the a  ...[more]

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