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285060

Fungal Diabetic Foot Infections

Article

Last updated: 28 Dec 2024

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Abstract

Background: Fungal infections play important role in pathogenesis of diabetic foot infections. Objective: to investigate the prevalence of fungi among patient with diabetic foot infections. Methodology: one hundred and twenty diabetic patients hospitalized due to foot infections were enlisted in this study. Deep tissue specimens from depth of the wound and nail samples were collected from the infected sites using the standard protocol. Laboratory identification of samples was done and pathogens were identified to the species level by morpho-physiological methods. Polymerase chain reaction was used to assess the presence of fungi in samples from infected sites. Results: Fungi were found in 51.7% of the patients. Candida albicans were the most predominant isolated organism (40.1%). Amphotericin B had 100% sensitivity against all Candida isolates. The most susceptible Candida species to fluconazole were C. dubliniensis and C. albicans. The most susceptible Candida species to voriconazole were C. dubliniensis. The most susceptible Candida species to itraconazole were C. dubliniensis. Of the study population, 70.0% had bacterial infection. The predominant isolates were Klebsiella spp. (32.7%). Mixed fungal and bacterial infections were seen in 20.3% of patients. Sensitivity of Pan fungal PCR was 97.4%, specificity was 92.4%. Conclusion: Fungal infections were more in patients with poor glycemic control. The role of antifungal agents in management of diabetic foot infections needs to be evaluated further.

DOI

10.21608/ejmm.2018.285060

Keywords

Fungal infection, Diabetic foot, Candida albicans, Onychomycosis, Interdigital toeweb infections

Authors

First Name

Rasha

Last Name

EL-Nagar

MiddleName

M.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University, Egypt

Email

r_m8445@yahoo.com

City

Mansoura

Orcid

0000-0002-0688-421X

First Name

Fikry

Last Name

El-Morsy

MiddleName

EL-Sayed

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

First Name

Wafaa

Last Name

Mowafy

MiddleName

K.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University, Egypt

Email

microdepnetwork@gmail.com

City

-

Orcid

-

First Name

Mamdouh

Last Name

El-Nahas

MiddleName

R.

Affiliation

Internal Medicine Department, Diabetes and Endocrinology unit, Faculty of Medicine, Port Said University, Egypt

Email

-

City

-

Orcid

-

First Name

Omaima

Last Name

El-Sayed

MiddleName

A.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

Volume

27

Article Issue

1

Related Issue

39579

Issue Date

2018-01-01

Receive Date

2023-02-11

Publish Date

2018-01-01

Page Start

1

Page End

8

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_285060.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=285060

Order

285,060

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Fungal Diabetic Foot Infections

Details

Type

Article

Created At

28 Dec 2024