Objective: The aim of this study was to investigate the prevalence of fungal infections of the foot in diabetics of Korea. Methods: This study was done by collaboration of the Korean Society for Medical Mycology and the Korean Diabetes Association. The aim of this study was to investigate the prevalence of fungal infections of the foot in diabetics. For this study, dermatologists and endocrinologists of 40 general hospitals were involved and they evaluated 7743 diabetic patients from April 28 to May 11, 2000. Diabetic patients seen in the endocrinology departments having foot diseases were referred to the dermatology departments for confirmation of fungal infections microscopically. Results: According to the survey results, the prevalence of fungal infections of the foot in diabetics was 38.8%(3003/7743 cases): 26.5%(2057/7743 cases) were tinea pedis and 26.6% (2064/7743 cases) were onychomycosis. But fungal infection occupied 88.5%(3003/3392 cases) among the foot affected patients of the diabetics. Isolated organisms were Trichophyton rubrum(81.5%), T. mentagrophytes(9.2%), Candida albicans(5.3%), yeasts (3.1%) and Aspergillus fumigatus(0.8%). Conclusions: We concluded that possibility of diabetics having fungal infections of the foot is high. Therefore, physicians have to emphasize the importance of health of the foot by examining the feet and toenails of every diabetics even if asymptomatic as part of a routine examination.
Full conference title:
The 15 th Congress of the International Society for Human and Animal Mycology
- ISHAM 15th (2003)