This Power Point is part of an Enlisted Advancement Program training series for US Navy Corpsman rating provided by Naval Medical Center Portsmouth Virginia
Naval Medical Center Portsmouth is a military treatment facility serving active duty service members, their dependents and retirees in the Hampton Roads community of southeastern Virginia and northeastern North Carolina.
2. DERMATOPHYTOSIS
Dermatophytosis and tinea are general terms applied to
fungal infection of keratinized areas of the body (hair,
skin, and nails)
Causative agents are dermatophtyes, which are
subdivided according to site of infection
TINEA BARBAE &TINEA CAPITIS
TINEA CRURIS &TINEA CORPORIS
TINEA PEDIS
ONYCHOMYCOSIS
3. DERMATOPHYTOSIS CON’T
TINEA BARBAE &TINEA CAPITIS (ringworm of the beard
and scalp, Kerion, Favus
A fungal disease that begins as a small area of erythema
and/or scaling and spreads peripherally
Leaves scaly patches of temporary baldness
Infected hairs become brittle and break off easily
Occasionally, kerions develop
A variety of tineacapitis caused byTrichophytonSchoenleinii
forms favus of the scalp. ***Has a mousy smell.
10. DERMATOPHYTOSIS CON’T
INFECTIOUS AGENTS
Various species of Microsporum andTrichophyton
Important to know the difference for therapeutic reasons
12. DERMATOPHYTOSIS CON’T
MODE OFTRANSMISSION
Direct skin to skin or indirect contact
(the backs of seats, barber clippers, combs, hairbrushes,
clothing and hats that are contaminated with hair from
infected people or animals)
13. DERMATOPHYTOSIS CON’T
INCUBATION PERIOD
Usually 10 to 14 days
Viable fungus may persist on contaminated materials for
long periods
14. DERMATOPHYTOSIS CON’T
SUSCEPTIBILITY
Children below the age of puberty are highly susceptible to M
All ages are subject toT infections
Reinfections mainly occur for infections spread amongst
humans
15. DERMATOPHYTOSIS CON’T
METHODS OF CONTROL
Educate the public
Survey heads of young children by UV light before school
entry in the presence of epidemics or in hyperendemic areas
where the species is prevalent.
In mild cases, daily washing of the scalp
Sulfide shampoos help remove scales
In severe cases, wash and cover with a cap, which should be
boiled after use.
18. TINEA CRURIS &TINEA
CORPORIS
INCUBATION PERIOD
Usually 4 to 10 days
Widespread, aggravated by friction and excessive
perspiration in axillary and inguinal regions and when temps
and humidity are high
All ages are susceptible
19. TINEA CRURIS &TINEA
CORPORIS
METHOD OF CONTROL
Launder towels and clothing with hot water and fungicidal
agent
General cleanliness in public showers and dressing rooms
Thorough bathing with soap and water for removal of scabs
and crusts and application of topical fungicide (miconazole,
clotrimazole, etc)
20.
21. TINEA PEDIS
TINEA PEDIS
Ringworm of the foot
Also known as Athlete’s Foot
23. ONYCHOMYCOSIS
ONYCHOMYCOSIS
Ringworm of the nails
Nail gradually becomes detached from the nail bed, thickens,
and becomes discolored and brittle
The nail eventually becomes chalky and disintegrates
DX: is made by micro exam of potassium hydroxide preps of
the nail and a culture