Affiliation:
1. Department of Dermatology and Allergy LMU University Hospital Munich Germany
2. Dr. Philip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami Florida USA
3. Department of Dermatology, Venereology and Dermatooncology Semmelweis University Budapest Hungary
4. Department of Dermatology and Allergy University Hospital Augsburg (UKA) Augsburg Germany
Abstract
SummaryBackground and ObjectivesKnowledge about the current spectrum of dermatomycoses is important for diagnosis and therapy.Patients and MethodsA retrospective, monocentric analysis of mucocutaneous fungal infections diagnosed at a large European academic dermatology department in Munich was conducted; 87,229 samples from 48,916 patients from January 1, 2011, to August 30, 2020, were included.ResultsFungi were detected in 11,513 samples from 48,916 (23.54%), and 36 different species were identified. Candida (C.) albicans was the most common pathogen (5,055 detections; 43.91% of all positive samples), followed by Trichophyton (T.) rubrum (3,076 detections; 26.72% of all positive samples) and Candida parapsilosis (923 detections; 8.02% of all positive samples). Rare pathogens such as Trichophyton raubitschekii were also detected. Coinfections with multiple species were detected in 44 cases.ConclusionsEven though C. albicans, T. rubrum, and C. parapsilosis were confirmed as the most common pathogens, rare pathogens should also be considered in clinical practice. The predominant spectrum of fungi differed from that reported in other countries. Furthermore, a difference in the pathogen spectrum could be observed depending on the age group and body site.