Epidemiology and Etiology of Tinea Capitis among Patients Attending Zliten Medical Center in Zliten, Libya
Keywords:
Tinea capitis, Microsporum canis, Dermatophyte infection, Pediatric infection, Zoonotic transmission, Zliten, LibyaAbstract
Tinea capitis is a prevalent fungal infection of the scalp, affecting mainly children and potentially causing scarring and alopecia if untreated. Primarily caused by dermatophyte fungi, including Microsporum and Trichophyton species, the infection spreads through close contact, often in school settings or homes with animals. Understanding the infection’s epidemiology and causative agents in specific areas can help shape preventive and treatment measures. This study investigates epidemiological features of age and gender distribution, and common fungal species causing Tinea capitis among patients at the Zliten Medical Center in Libya. Data were collected from 178 patients from January 2021 to August 2024, encompassing demographic details, clinical diagnoses, and diagnostic results, including Potassium hydroxide (KOH) microscopy and fungal cultures. Patients were grouped by age and gender, and diagnostic results were reviewed to identify specific fungal pathogens. Among the 178 patients, 57.3% were male and 42.7% were female, with the highest prevalence in the 6–12 age group (47.8%), followed by ages 1–5 (37.1%). Positive results for KOH microscopy were 45.5%, and culture testing confirmed dermatophyte growth in 44.9% of cases. Microsporum canis was the most frequently isolated species (22.5%), followed by Trichophyton verrucosum(10.7%).. The findings highlight Tinea capitis as a pediatric condition, especially in young males, with Microsporum canis indicating zoonotic transmission. These results underline the importance of targeted public health initiatives and hygiene education, particularly in schools and homes with animals, to minimize transmission rates.
Downloads
References
Al-Dulaimi, A. A. A.-D., M. A.; Al-Dulaimi, S. A. (2015). Prevalence of Tinea Capitis among School Children in Baghdad. Iraqi Journal of Community Medicine, 28(2), 123-128.
Al-Sheikh, H. (2009). Epidemiology of dermatophytes in the eastern province of Saudi Arabia.
Arenas, R. T., S.; Isa-Isa, R. (2006). Tinea capitis: Current concepts in diagnosis and management. American Journal of Clinical Dermatology, 7(5), 305-313. doi:10.2165/00128071-200607050-00004
Arshah, T., Al-Bakosh, A., Ali, M., Ramadan, H., Alshawish, S., & Algondy, M. (2016). Superficial fungal skin infections in patients attending Zliten Teaching Hospital (North West of Libya). International Journal of TROPICAL DISEASE & Health, 20(2), 1-8.
Arshah, T., Dwibe, H., & Al-Bakosh, A. (2017). Tinea Capitis in Patients Attending Zliten Teaching Hospital (North West of Libya). International Journal of TROPICAL DISEASE & Health, 26(2), 1-7.
Arshah, T. M., Arshah, A., Alrtail, A., & Elzurghany, A. (2019). The Sensitivity and Role of Mycology Laboratory in Management of Superficial Fungal Infections in Zliten Teaching Hospital. Asian Journal of Research in Dermatological Science, 2(1), 1-6.
El-Khalawany, M. A. S., D.; Abdelmaksoud, A. (2016). Epidemiology and laboratory diagnosis of superficial fungal infections in the East Mediterranean region. ermatology Research and Practice, 2016, 1-8. doi:https://doi.org/10.1155/2016/3076187
El-Khalawany, M. S., D.; Hassan, H.; Abdalsalam, F.; Eassa, B.; Abdel Kader, A.; Shaheen, I. (2015). A multicenter clinicomycological study evaluating the spectrum of adult tinea capitis in Egypt. Acta Dermatovenerologica Alpina, Pannonica et Adriatica, 22(4), 77-82.
Fikrie, N. A., M. (2023). Prevalence of Tinea Capitis and Associated Factors Among Schoolchildren in Ethiopia. Medical Mycology Journal, 44(3), 278-284. doi:10.1007/s11046-023-00710-8
Ginter-Hanselmayer, G. W., W.; Ilkit, M.; Smolle, J. (2007). Epidemiology of tinea capitis in Europe: Current state and changing patterns. Mycoses, 50(s2), 6-13. doi:10.1111/j.1439-0507.2007.01474.x
Grimalt, R. (2005). A practical guide to tinea capitis: Diagnosis and management. Journal of the American Academy of Dermatology, 53(1), 1-12. Retrieved from 10.1016/j.jaad.2005.04.019
Hay, R. J. A., H. R. (2012). Mycology and Dermatology: A Practical Guide to Fungal Diseases: Springer Science & Business Media.
Kidane, S. N. N., S. (2016). Prevalence of Overweight and its Associated Factors among Primary School Students of Dukem Town, Central Ethiopia 2016. EC Paediatrics, 7(9), 919-931.
Organization, W. H. (2005). Epidemiology and management of common skin diseases in children in developing countries. Retrieved from https://www.who.int/publications/i/item/WHO-FCH-CAH-05.12
Rahman, S. M. M. I., A. K. M. S.; Rahman, M. M. (2019). Tinea capitis in children: A clinico-mycological study in a tertiary care hospital. Journal of Bangladesh College of Physicians and Surgeons, 37(1), 5-10.
Registration, Z. O. f. C. (2023). Monthly Report on Population Number and Statistics (1(5): 1570). Retrieved from Zliten, Libya:
Weitzman, I. S., R. C. (1995). The dermatophytes. Clinical Microbiology Reviews, 8(2), 240-259. Retrieved from https://cmr.asm.org/content/8/2/240
Downloads
Published
Conference Proceedings Volume
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.