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Anogenitale Pilzerkrankungen

Mycotic infections of the anogenital region

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Zusammenfassung

Mykosen im Anogenitalbereich sind häufige Krankheitsbilder in der dermatologischen Praxis. Während Dermatophytosen bei Männern häufiger nachzuweisen sind, sind genitale Candidosen insbesondere bei Frauen problematisch. Hier findet sich zudem ein Anstieg von Non-albicans-Spezies (insbesondere C. glabrata, C. krusei, C. guilliermondii), die aufgrund ihrer Resistenzentwicklung gegenüber Azol-Präparaten für ein Therapieversagen verantwortlich sein können. Die meisten superfiziellen Infektionen sprechen jedoch zufrieden stellend auf eine topische antimykotische Behandlung an, insbesondere wenn Prädispositionsfaktoren und die Möglichkeit einer sexuellen Übertragung berücksichtigt werden. Ausgedehnte Infektionen durch Dermatophyten, Hefen und natürlich systemische Infektionen erfordern eine systemische antimykotische Therapie.

Abstract

Mycotic infections of the anogenital region are very common in dermatological practice. While dermatophyte infections are more frequent in men, genital candidosis is a more striking problem in women. The increasing prevalence of non-albicans species (esp. C. glabrata, C. krusei, C. guilliermondii) with their resistance against azole derivatives may be responsible for therapeutic failures and a relapsing course in some instances. Most superficial infections of the anogenital area respond satisfactorily to topical antifungal treatment, especially if provocative factors and the possibility of sexual transmission are considered. Systemic treatment is recommended in cases of widespread dermatophyte infections, candidosis or systemic mycosis.

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Literatur

  1. Bisschop MPJM, Merkus JMWM, Scheygrond H, van Cutsem J (1986) Co-treatment of the male partner in vaginal candidosis: a double-blind randomized control study. Br J Obstet Gynecol 93:79–81

    CAS  Google Scholar 

  2. Blank F, Mann SJ (1975) Trichophyton rubrum infection according to age, anatomical distribution and sex. Br J Derm 92:171–174

    CAS  Google Scholar 

  3. Buch A, Christensen ES (1982) Treatment of vaginal candidosis with natamycin and effect of treating the partner at the same time. Acta Obstet Gynecol Scand 61:393–396

    CAS  PubMed  Google Scholar 

  4. Budimulja U, Bramono K, Urip KS et al.(2001) Once daily treatment with terbinafine 1% cream (Lamisil) for one week is effective in the treatment of tinea corporis and cruris. A placebo-controlled study. Mycoses 44:300–306

    Article  CAS  PubMed  Google Scholar 

  5. Calderon-Márquez JJ (1987) Itraconazole in the treatment of vaginalcandidosis and the effect ot treatment of the sexual partner. Rev Infect Dis 9 [Suppl 1]:S143–145

  6. De Hoog GS, Guarro J, Gené J, Figueras MJ (2000) Atlas of clinical fungi, 2nd ed. Centraalbureau voor Schimmelcultures/Universität Rovira i Virgili

  7. Dekio S, Jidoi J (1989) Tinea of the Glans penis. Dermatologica 178:112–111

    CAS  PubMed  Google Scholar 

  8. Erbagci Z (2004) Topical therapy for dermatophytoses: should corticosteroids be included? Am J Clin Dermatol 5:375–384

    PubMed  Google Scholar 

  9. Göttlicher S, Meyer (1997) Vulvovaginalmykose. Thieme, Stuttgart New York

  10. Gupta AK (2001) Ciclopirox: an overview. Int J Dermatol 40:305–310

    Article  CAS  PubMed  Google Scholar 

  11. Gupta Ak, Cooper EA, Ryder JE et al.(2004) Optimal management of fungal infections of the skin, hair, and nails. Am J Clin Dermatol 5:225–237

    PubMed  Google Scholar 

  12. Haase G, Borg-von Zepelin M, Bernhardt H et al. (2001)Pilzinfektion Teil I/II; MiQ — Qualitätsstandards in der mikrobiologisch-infektiologischen Diagnostik. Urban & Fischer, München Jena

  13. Hay, RJ, Moore Mk (2004) Mycology. In: Burns T, Breathnach S, Cox N, Griffiths C (eds) Textbook of dermatology, Vol. 2, 7th edn. Blackwell Scientific Publications, Oxford

  14. La Touche CJ (1967) Scrotal Dermatophytosis. An insufficiently documented aspect of tinea cruris. Br J Derm 79:339–344

    Google Scholar 

  15. Mayser P (1999) Mycotic infections of the penis. Andrologia 31 ([Suppl 1]:13–16

    Google Scholar 

  16. Mayser P, Huppertz M, Papavassilis C, Gruender K (1996) Hefen der Gattung Trichosporon — Identifzierung, Epidemiologie und Bedeutung bei dermatologischen Krankheitsbildern. Hautarzt 47:913–920

    Article  CAS  PubMed  Google Scholar 

  17. Mayser P, Schütz M, Schuppe HC et al. (2001) Frequency and spectrum of Malassezia yeasts in the area of prepuce and glans penis. BJU International 88:554–558

    Article  CAS  PubMed  Google Scholar 

  18. McBride ME, Ellmer KM, Black HS et al. (1993) A new Brevibacterium sp. isolated from infected genital hair of patients with white piedra. J Med Microbiol 39:255–261

    CAS  PubMed  Google Scholar 

  19. Mendling W, Pinto de Andrade M, Gutschmidt J et al. (2000) Strain specifity of yeast isolated from different locations of women suffering from vaginal candidosis, and their partners. Mycoses 43:387–392

    Article  CAS  PubMed  Google Scholar 

  20. Mendling W, Seebacher C (2002) Candidose des weiblichen Genitale. Leitlinien der DDG und der DMYKG. (AWMF Leitlinien Register 013/004) http://www.awmf-online.de

  21. Nyirjesy P, Sobel JD (2003): Vulvovaginal candidiasis. Obstet Gynecol Clin N Am 30:671–684

    Article  Google Scholar 

  22. Odds FC (1988). Candida and Candidosis. Ballière Tindall, London Philadelphia

  23. Pandey SS, Chandra S, Guha PK et al. (1981) Dermatophyte infection of the penis. Int J Dermatol 20:112–114

    CAS  PubMed  Google Scholar 

  24. Pillai KG, Singh G, Sharma BM (1975) Trichophyton rubrum infection of the penis. Dermatologica 150:252–254

    Google Scholar 

  25. Rehore A, Leyden JJ (1981): Napkin (diaper) dermatitis and gastro-intestinal carriage of Candida albicans. Br J Derm 105:551–555

    Google Scholar 

  26. Rodin P, Kolator B (1976) Carriage of yeasts on the penis. Br Med J 1:1123–1124

    CAS  PubMed  Google Scholar 

  27. Schiefer HG (1997) Mycoses of the urogenital tract. Mycoses 40 [Suppl 2]:33–36

  28. Seebacher C, Korting HC: Tinea der freien Haut. Leitlinien der DDG und der DMYKG (AWMF Leitlinien Register 013/002) http://www.awmf-online.de

  29. Skoglund RW (1971) Diabetes presenting with phimosis. Lancet 2:1431

    Article  CAS  Google Scholar 

  30. Sobel JD (1998) Vulvovaginitis due to Candida glabrata. An emerging problem. Mycoses 41 [Suppl 2]:18–22

  31. Sobel JD (2003): Management of patients with recurrent vulvovaginal candidiasis. Drugs 63:1059–1066

    CAS  PubMed  Google Scholar 

  32. Thin RN, Leighton M, Dixon MJ (1979) How often are gonorrhoea and genital yeast infection sexually transmitted? Br J Vener Dis 55:278–280

    CAS  PubMed  Google Scholar 

  33. Tietz HJ (1997) Pilzkultur. In: Korting HC, Sterry W (Hrsg) Diagnostische Verfahren in der Dermatologie. Blackwell, Berlin Wien

  34. Tietz HJ, Mendling W (2001): Haut- und Vaginalmykosen. Blackwell, Berlin

  35. Tietz HJ, Sterry W (2004) Antimykotika von A–Z, 3. Aufl; Thieme, Stuttgart New York

  36. Working group of the British Society for Medical Mycology (1995) Management of genital candidiasis. BMJ 310:1241–1244

    PubMed  Google Scholar 

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  1. Zentrum für Dermatologie, Justus Liebig Universität Gießen

    P. Mayser, W. Hort & S. Pflieger-Bruss

  2. Zentrum für Dermatologie, Justus Liebig Universität Gießen, Gaffkystraße 14, 35385 , Gießen

    P. Mayser

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  1. P. Mayser
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Correspondence to P. Mayser.

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Mayser, P., Hort, W. & Pflieger-Bruss, S. Anogenitale Pilzerkrankungen. Hautarzt 56, 531–539 (2005). https://doi.org/10.1007/s00105-005-0964-z

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