DRC; Kinshasa; Malassezia; cutaneous mycosis; dermatophytes; dermatophytosis; tinea; Humans; Democratic Republic of the Congo/epidemiology; Retrospective Studies; Female; Adult; Male; Adolescent; Young Adult; Middle Aged; Child; Child, Preschool; Risk Factors; Aged; Infant; Aged, 80 and over; Dermatomycoses/epidemiology; Dermatomycoses/microbiology; Democratic Republic of the Congo; Dermatomycoses; Dermatology; Infectious Diseases
Abstract :
[en] [en] BACKGROUND: Although cutaneous mycoses are a global public health problem, very few data are available in the Democratic Republic of Congo (DRC).
OBJECTIVES: This study aimed to describe the retrospective clinical epidemiology of dermatomycosis and their associated risk factors in dermatological consultations in Kinshasa, DRC.
METHODS: A retrospective study based on the medical records of patients seen in the departments of dermatology of 2 major hospitals in Kinshasa from March 2000 to August 2023 was carried out. The diagnosis of the various types of dermatomycoses was established based on the dermatologist's clinical examination. Patient demographic and clinical data were collected for study purposes.
RESULTS: Of 27,439 patients consulted at the two sites, 1142 were diagnosed with dermatomycosis (4.16%). Young women aged 27 (17-43) were most affected. Diagnosed patients shared a history of skin mycoses (26%), use of skin-lightening products (19%) and diabetes mellitus (9.6%). Among these patients, 59.3% suffered from dermatophytosis (tinea), 39.1% from malassesiosis and 1.2% from candidal dermatosis. While tinea was predominantly found in children (81.88%, p < 0.001), pruritus and pain in the lesions were preferentially reported by the dermatophytosis patients [65.25% (p < 0.001) and 79.1% (p < 0.001), respectively]. Tinea corporis (45.5%), tinea capitis (20.4%), tinea pedis (19.3%) and onychomycosis (10.2%) were the main nosological entities in the dermatophytosis group, and their distribution on the body surface depended on patients' age (p < 0.001) and sex (p = 0.012).
CONCLUSIONS: Dominated by dermatophytosis, dermatomycosis are frequent in dermatological consultations in Kinshasa. While clinical diagnosis remains an important element in the description of dermatomycosis, a better epidemiological understanding would also require biological identification of the fungi involved, which was lacking in this study.
Disciplines :
Microbiology
Author, co-author :
Seudjip, Nono Lydie Joëlle ; Department of Dermatology, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo ; Department of Dermatology, HJ Hospital, Kinshasa, Democratic Republic of Congo ; Working Group on Mycoses in DRC, Kinshasa, Democratic Republic of the Congo
Libeko, Simplice Konga; Department of Dermatology, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo ; Working Group on Mycoses in DRC, Kinshasa, Democratic Republic of the Congo
Ntshila, Luc Kalala; Department of Dermatology, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo ; Working Group on Mycoses in DRC, Kinshasa, Democratic Republic of the Congo
Bunga, Paulo Muntu; Department of Pediatrics, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Mvumbi, Georges Lelo ; Department of Molecular Biology, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Kabututu, Pius Zakayi; Department of Molecular Biology, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Kabedi, Marie José Bajani; Working Group on Mycoses in DRC, Kinshasa, Democratic Republic of the Congo ; Department of Medical Biology, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Tshimanga, Tshimy Yona; Department of Medical Biology, Higher Institute of Medical Techniques-Kinshasa, Kinshasa, Democratic Republic of Congo
Yobi, Doudou Malekita ; Department of Molecular Biology, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Hayette, Marie-Pierre ; Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Bactériologie, mycologie, parasitologie, virologie et microbiologie
Zono, Bive ; Université de Liège - ULiège > Unités de recherche interfacultaires > Centre Interdisciplinaire de Recherche sur le Médicament (CIRM) ; Working Group on Mycoses in DRC, Kinshasa, Democratic Republic of the Congo ; Department of Molecular Biology, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Language :
English
Title :
Retrospective Epidemiology of Dermatomycosis in Kinshasa, Democratic Republic of Congo, From 2000 to 2023.
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