Ping Zhan1, Dongmei Li2, Chong Wang3, Jiufeng Sun4, Chengfang Geng5, Zhiwei Xiong5, Seyedmojtaba Seyedmousavi6, Weida Liu7, G Sybren de Hoog8. 1. Institute of Dermatology, Chinese Academy of Medical Science & Peking Union Medical College, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Nanjing 210042, China Dermatology Hospital of Jiangxi Province, Jiangxi Provincial institute of Dermatology, Nanchang 330001, China CBS-KNAW Fungal Biodiversity Centre, Utrecht, The Netherlands Institute for Biodiversity and Ecosystem Dynamics, University of Amsterdam, Amsterdam, The Netherlands. 2. Institute of Dermatology, Chinese Academy of Medical Science & Peking Union Medical College, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Nanjing 210042, China Georgetown University Medical Center, Department of Microbiology / Immunology, Washington, DC 20057, United States. 3. Institute of Dermatology, Chinese Academy of Medical Science & Peking Union Medical College, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Nanjing 210042, China Dermatology Department, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009 China. 4. Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. 5. Dermatology Hospital of Jiangxi Province, Jiangxi Provincial institute of Dermatology, Nanchang 330001, China. 6. Department of Medical Microbiology, Radboudumc, Nijmegen, The Netherlands Department of Medical Microbiology and Infectious Diseases, Erasmus MC, The Netherlands. 7. Institute of Dermatology, Chinese Academy of Medical Science & Peking Union Medical College, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Nanjing 210042, China liumyco@hotmail.com. 8. CBS-KNAW Fungal Biodiversity Centre, Utrecht, The Netherlands Institute for Biodiversity and Ecosystem Dynamics, University of Amsterdam, Amsterdam, The Netherlands de.hoog@cbs.knaw.nl.
Abstract
BACKGROUND: Tinea capitis is a fungal infection of the scalp occurring commonly in children. Historical data indicate that clinical manifestations and the spectrum of etiologic agents vary greatly with geography, as well as socioeconomic affected populations. OBJECTIVE: To study the possible connection between socioeconomic status, the disease patterns and the variability of etiological agents. METHODS: We reviewed tinea capitis in China through literature since 1956. The disease pattern was correlated with economic and public health management protocols. Historical data on fungal identification were mostly obtained by morphology. The accuracy of these historical results was further confirmed by use of both morphological and ITS identification on a control set of 90 isolates collected recently from local hospital. RESULTS: Full agreement of the two identification methods implies that data from the literature were sufficiently reliable to allow comparison across reported cases. In sum, 88 papers involving 25 administrative provinces and municipalities with 38,962 clinical strains met the inclusion criteria of this review. Zoophilic species Microsporum canis is the most prevalent agent within large, modernized cities in China today accounting for over 80% of infections. In contrast, anthropophilic dermatophytes, particularly Trichophyton violaceum, are geographically endemic only in some southeastern and northwestern regions. CONCLUSION: Economic development and urbanization of cities favor a shift of etiological agents from anthroponoses to zoonoses in contemporary China. Pets are becoming the most likely sources of infection in modern lifestyles, replacing the earlier human-to-human transmission mode. However, the latter transmission mode is still prevalent in less developed areas lacking adequate social and public health facilities.
BACKGROUND:Tinea capitis is a fungal infection of the scalp occurring commonly in children. Historical data indicate that clinical manifestations and the spectrum of etiologic agents vary greatly with geography, as well as socioeconomic affected populations. OBJECTIVE: To study the possible connection between socioeconomic status, the disease patterns and the variability of etiological agents. METHODS: We reviewed tinea capitis in China through literature since 1956. The disease pattern was correlated with economic and public health management protocols. Historical data on fungal identification were mostly obtained by morphology. The accuracy of these historical results was further confirmed by use of both morphological and ITS identification on a control set of 90 isolates collected recently from local hospital. RESULTS: Full agreement of the two identification methods implies that data from the literature were sufficiently reliable to allow comparison across reported cases. In sum, 88 papers involving 25 administrative provinces and municipalities with 38,962 clinical strains met the inclusion criteria of this review. Zoophilic species Microsporum canis is the most prevalent agent within large, modernized cities in China today accounting for over 80% of infections. In contrast, anthropophilic dermatophytes, particularly Trichophyton violaceum, are geographically endemic only in some southeastern and northwestern regions. CONCLUSION: Economic development and urbanization of cities favor a shift of etiological agents from anthroponoses to zoonoses in contemporary China. Pets are becoming the most likely sources of infection in modern lifestyles, replacing the earlier human-to-human transmission mode. However, the latter transmission mode is still prevalent in less developed areas lacking adequate social and public health facilities.
Authors: Min Chen; Yuan Xu; Nan Hong; Yali Yang; Wenzhi Lei; Lin Du; Jingjun Zhao; Xia Lei; Lin Xiong; Langqi Cai; Hui Xu; Weihua Pan; Wanqing Liao Journal: Front Med Date: 2018-01-11 Impact factor: 4.592
Authors: Shuwen Deng; Saham Ansari; Macit Ilkit; Haleh Rafati; Mohammad T Hedayati; Mojtaba Taghizadeh-Armaki; Ayatollah Nasrollahi-Omran; Ali Tolooe; Ping Zhan; Wanqing Liao; Henrich A van der Lee; Paul E Verweij; Seyedmojtaba Seyedmousavi Journal: Antimicrob Agents Chemother Date: 2017-01-24 Impact factor: 5.191
Authors: P Zhan; K Dukik; D Li; J Sun; J B Stielow; B Gerrits van den Ende; B Brankovics; S B J Menken; H Mei; W Bao; G Lv; W Liu; G S de Hoog Journal: Stud Mycol Date: 2018-02-21 Impact factor: 16.097
Authors: Xinyu Yang; Xiuyan Shi; Wei Chen; Yabin Zhou; Michail S Lionakis; Dimitrios P Kontoyiannis; Wei Liu Journal: Med Mycol Case Rep Date: 2020-05-19