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Korean Journal of Medical Mycology

2002 (v1, n1) to Present ISSN: 1671-8925

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A Case of Tinea Capitis Developed In Sisters.

Hyun Sang LIM ; Myeung Nam KIM ; Byung In RO

Korean Journal of Medical Mycology.1997;2(2):178-181.

Tinea capitis caused by Microsporum(M.) canis has been prevalent after 1970s, replacing M. ferrugineum. But, recently as the incidence of M. canis infection has been decreased, the prevalence of tinea capitis has also been decreased. We report a case of tinea capitis seen simultaneously in 2-year-old and 4-year-old sisters. They had several thick scaly bald patches on the scalps after visiting their relatives raising a dog. On mycologic examinations, M. canis was isolated. They were successfully treated with oral terbinafine for 13 weeks and 11 weeks, respectively.
Animals ; Child, Preschool ; Dogs ; Humans ; Incidence ; Prevalence ; Scalp ; Siblings* ; Tinea Capitis* ; Tinea*

Animals ; Child, Preschool ; Dogs ; Humans ; Incidence ; Prevalence ; Scalp ; Siblings* ; Tinea Capitis* ; Tinea*

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A case of Malassezia (Pityrosporum) Folliculitis Associated with Pityriasis(Tinea) Versicolor.

Koo Seog CHAE ; Doo Hee YOON ; Jeong Deuk LEE ; Jun Young LEE ; Jin Wou KIM ; Baik Kee CHO

Korean Journal of Medical Mycology.1997;2(2):174-177.

We report a case of Malassezia folliculitis associated with pityriasis versicolor in a 16-year-old man. He had asymptomatic multiple erythematous papulopustular eruptions and scaly confluent hypopigmented maculas on the anterior chest for 2 months. The diagnosis of Malassezia folliculitis was established with the mycological and histological examinations from the specimen of papulopustules on the chest. Pityriasis versicolor was confirmed by KOH examination with the scales of the hypopigmented macules on the chest. Although the association of these two dermatoses is not common, they are generally accepted as being caused by the same organism of the genus Afafaffgfio, which has different pathogenic stages. In our case, both types of skin lesions were improved after 3 weeks of antifungal therapy with systemic itraconazole (200 mg/day) and topical 1% isoconazole nitrate cream.
Adolescent ; Diagnosis ; Folliculitis* ; Humans ; Itraconazole ; Malassezia* ; Skin ; Skin Diseases ; Thorax ; Tinea Versicolor ; Weights and Measures

Adolescent ; Diagnosis ; Folliculitis* ; Humans ; Itraconazole ; Malassezia* ; Skin ; Skin Diseases ; Thorax ; Tinea Versicolor ; Weights and Measures

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A Case of Cutaneous Disseminated Type of Sporotrichosis Resistant to Itraconazole and Terbinafine.

Dong Seok KIM ; Jong Woo KIM ; Sang Won KIM

Korean Journal of Medical Mycology.1997;2(2):169-173.

Sporotrichosis, a deep fungal infection caused by Sporothrix schenckii, is mainly treated with potassium iodide (Kl) and other antifungal agents, and recently there were reports of cases treated with itraconazole or terbinafine. A 56-year-old female patient presented with multiple painless firm nodules covered with crusts measured 1.0x1.5 cm and 1.0x3.0 cm on the right side of neck and an erythematous plaque with ulceration measured 2.0x2.0 cm on the right cheek for 20 days. Eight months before visit, she noted two subcutaneous nodules on the right side of neck. Excisional biopsy and treatment for tuberculous lymphadenitis were done. There had been no clinical response for 2 months, but new painless nodules and plaque with ulceration were developed on the opposite side of previous lesions. Biopsy showed a granulomatous change with polymorphic infiltrates, yeast cells and asteroid body. Routine laboratory findings and chest X-ray were not contributory. No evidence of tuberculosis was found in the examination with sputum and tissue.4 dark brown to black, moist and wrinkled colony on the Sabouraud's dextrose agar and septate, branched mycelia and clustered conidia on slide culture were shown to be consistent with Sporothrix schenckii. Cutaneous disseminated type of sporotricosis was diagnosed. The treatment was started with 500 mg of terbinafine daily which was known to be fungicidal, but there was no improvement clinically and mycologically for 2 months except initial transient stopping of progression. The regimen was subsequently changed to intraconazole 200 mg daily for 3 months, but new lesions were developed. So she was treated with saturated solution of potassium iodide. Five drops were given three times a day, and the dose was increased by 5 drops each day to a dose of 30 drops three times a day. Nodular lesions markedly decreased in size in two weeks, but serial tissue cultures were positive. After 3 months of administration, tissue culture was negative. No evidence of clinical relapse was noted after 3 years of follow-up.
Agar ; Antifungal Agents ; Biopsy ; Cheek ; Female ; Follow-Up Studies ; Glucose ; Humans ; Itraconazole* ; Middle Aged ; Neck ; Potassium Iodide ; Recurrence ; Spores, Fungal ; Sporothrix ; Sporotrichosis* ; Sputum ; Thorax ; Tuberculosis ; Tuberculosis, Lymph Node ; Ulcer ; Yeasts

Agar ; Antifungal Agents ; Biopsy ; Cheek ; Female ; Follow-Up Studies ; Glucose ; Humans ; Itraconazole* ; Middle Aged ; Neck ; Potassium Iodide ; Recurrence ; Spores, Fungal ; Sporothrix ; Sporotrichosis* ; Sputum ; Thorax ; Tuberculosis ; Tuberculosis, Lymph Node ; Ulcer ; Yeasts

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Clinical Observation of 103 Cases of Sporotrichosis in Kwangju City and Chonnam Province during a Thirty-Year-Period (1967-1996).

Inn Ki CHUN ; Hun Hee KIM ; Seong Jin KIM ; Seung Chul LEE ; Young Ho WON

Korean Journal of Medical Mycology.1997;2(2):161-168.

BACKGROUND: Sporotrichosis is most common deep cutaneous fungal disease in Korea. It is markedly variable in incidence, distribution, and clinical pattern. The epidemiology have been well known to change over years, and to be influenced by environmental condition and geographic location. Sporotrichosis in Kwangiu and Chonnam area is more prevalent compared to other areas in Korea. OBJECTIVE: Our purpose was to describe the prevalence, epidemiological and clinical features, regional distribution and the change of the incidence according to the climate in different regions. METHOD: The observation of 103 sporotrichosis patients confirmed by clinical, histopathological and mycological studies had been made in the Department of Dermatology at Chonnam National University Hospital for thirty years from 1967 to 1996. RESULTS AND CONCLUSION: The sporotrichosis patient was 0.09% of 108,680 outpatients, prevalent at the age of tai.ties and forties (20%), and 3.2: 1 in the ratio between male and female. The 58% of the total cases visited us within 3 months after the beginning of skin lesion. Almost all initial lesions appeared on the exposed areas, especially upper extremities (68%). The 74% of the total cases was lymphocutaneous type, and the rest was fixed cutaneous type. Most popular occupation of patients was farmer (60%). The 69% of patients visited in spring and winter, especially in February (17%). The incidence of sporotrichosis per average 100,000 population in districts of Kwangju and Chonnam area revealed a difference with the amount of rainfall in winter; average 1.8 person in an area above 125mm, 0.8 person in an area between 100 mm and 125 mm, and 0.2 person in an area below 100 mm. These results suggest that the incidence and clinical features of sporotrichosis are influenced by occupations, leisure and occupational activities, living conditions, and the climate.
Climate ; Dermatology ; Epidemiology ; Female ; Gwangju* ; Humans ; Incidence ; Jeollanam-do* ; Korea ; Leisure Activities ; Male ; Occupations ; Outpatients ; Prevalence ; Skin ; Social Conditions ; Sporotrichosis* ; Upper Extremity

Climate ; Dermatology ; Epidemiology ; Female ; Gwangju* ; Humans ; Incidence ; Jeollanam-do* ; Korea ; Leisure Activities ; Male ; Occupations ; Outpatients ; Prevalence ; Skin ; Social Conditions ; Sporotrichosis* ; Upper Extremity

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Scanning Electron Microscopic Examination of Dermatophytes.

Kyeong Han YOON ; Tae Suk CHUNG ; Hang Kye SHIN ; Dongsik BANG ; Kwang Hoon LEE

Korean Journal of Medical Mycology.1997;2(2):153-160.

BACKGROUND: It is important to understand the morphologic characteristics for the identification of a microorganism. Electron microscopy has contributed a great deal to the field of mycology. Scanning electron microscope (SEM) has become a useful tool to study three-dimensional images of fungi. Vacuum dessicator aqueous fixation is a useful sample preparation technique for SEM examination of fungal specimens without surFace distortions. OBJECTIVE: This study was done to observe the three-dimensional structures of dermatophytes preserving their natural growth characteristics. METHODS: Trichophyton rubrum, T. mentagrophytes, Microsporum canis, M. gypseum, and Epidermophyton floccosum were isolated and cultured on Sabourd agar, corn meal agar, or rice agar plate. Vacuum dessicator aqueous fixation was utilized as p preparation technique for SEM examinations of fungi. RESULTS: Vacuum dessicator aqueous fixation led us to examine the aerial mycelia including conidia of the dermatophytes under SEM. The five species of dermatophytes showed their own characteristic structures especially on microconidia and macroconidia. CONCLUSION: The use of ultrastructural research has made it possible to identify the species of fungi and can be expanded and improved along with the development of SEM and specimen preparation techniques.
Agar ; Arthrodermataceae* ; Epidermophyton ; Fungi ; Imaging, Three-Dimensional ; Meals ; Microscopy, Electron ; Microscopy, Electron, Scanning ; Microsporum ; Mycology ; Spores, Fungal ; Trichophyton ; Vacuum ; Zea mays

Agar ; Arthrodermataceae* ; Epidermophyton ; Fungi ; Imaging, Three-Dimensional ; Meals ; Microscopy, Electron ; Microscopy, Electron, Scanning ; Microsporum ; Mycology ; Spores, Fungal ; Trichophyton ; Vacuum ; Zea mays

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In vitro Nail Infection Through Several Kinds of Fungi.

Hyun Jeong PARK ; Baik Kee CHO

Korean Journal of Medical Mycology.1997;2(2):144-152.

BACKGROUND: The techniques that are currently used to diagnose nail infections, KOH and culture, can only provide indirect evidence of a fungal cause because false-negative and falsepositive results are high. The use of histologic examination can be of help for a more accurate and specific diagnosis. OBJECTIVE: This study was undertaken to investigate the characteristics of nail invasion and morphology in nail sections by 5 species of fungi including Trichophyton mentagrophutes var mentagrophytes, Trichophyton, rubrum, Candida albicans, Scopulariopsis brevicaulis, and Fusarium oxysporum. METHODS: Two in vitro methods for the study of nail invasion were used. In one method, those cultured fungi were inoculated on the ventral surface of the human nail clippings (direct nail inoculation method). In the other method, invasion of nail clippings by those fungi was induced in the continuous shaking liquid media (continuous shaking liquid culture method). RESULTS: 1. In direct nail inoculation method, the gross findings are similar to those obtained in routine culture media. By 1 week, the nail fragments were totally covered by a white fungal mycelium on gross examination. 2. Non-dermatophytes were slower invader of nail tissue than dermatohytes. Invasion was quicker and more extensive in the dystrophic nail. Full thickness invasion of the normal nail fragment was observed in 46.8+/-9.8 days. But it took 13.3+/-2.6 days to invade the dystrophic nail fragment (p<0.05). 3. This model showed the morphologic differences of three groups of fungi. Deramtolphytes gernerally showed regular, straight, septate and branched hyphae, which run parallel to the nail surface; C. albicans appeared as pseudofilaments running haphazardly within the nail; S. brevicaulis and F. oxysporum appeared as irregular, thicker hyphae without any spores. 4. By using the continuous shaking liqyid culture method, T. Mentagrophytes var mentagrophytes was only successful in nail invasion. CONCLUSION: The direct nail inoculation method is a simple method showing the dynamics of the nail invasion in vitro. Unlike to dermatolphytes, NDFF(non-dermatolphytic filamentous fungi) and Candida sp. could invade only dystrophic abnormal nail. Dermatophytes, Candida sp., and NDFF showed some differences in shape and arrangement fo the hyphae on the histopathologic sections. But they are not diagnostic to the species.
Arthrodermataceae ; Candida ; Candida albicans ; Culture Media ; Diagnosis ; Fungi* ; Fusarium ; Humans ; Hyphae ; Mycelium ; Nails, Malformed ; Running ; Scopulariopsis ; Spores ; Trichophyton

Arthrodermataceae ; Candida ; Candida albicans ; Culture Media ; Diagnosis ; Fungi* ; Fusarium ; Humans ; Hyphae ; Mycelium ; Nails, Malformed ; Running ; Scopulariopsis ; Spores ; Trichophyton

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Subtypes and Mycologic Characteristics of Trichophyton Genus Isolated in Taegu Korea.

Ki Hong KIM ; Byung Chun MOON ; Jong Soo CHOI

Korean Journal of Medical Mycology.1997;2(2):129-143.

BACKGROUND: Dermatophytosis has been investigated by many dermatologist, who has Identified 9 species, specific in Korea among the 43 world-wide species. Two isolates of Trichophuyton (T.) genus common in Korea are Trichophyton (T.) rubrum and T. verrucosum bas been identified for the first time in Korea in 1986 and bas been increasing in unmber of reported cases. OBJECTIVE: In this study, we try to classify the subtype of T. rubrum, T. mentagrophytes and T. verrucosum, as well as to identifiy the invasion of new so far, unidentified species with similar morphology. METHOD: Forty strains of T. rubrum, 40 strains of T. mentagrophytes and 30 strains of T. verrucosum, isolated from dermatophutosis patients in Taegu area, ware examined for their characteristics, utilizing various media, hair perforation test and urease test. RESULTS: T. rubrum was classified into 5 subtypes: granular type, portowine type, diffusable pigment producing type, yellow type and non-pigmented type, according to their color and surface morphology. Portowine type showed characteristic cottony surface with portowine color on the reverse side on gross morphology and microspcopically on rare occasion macroconidia and minimal tear-drop microconidia. Granular type showed granular surface with portowine color on the reverse side, and many pencil-shaped macroconidia and abundant microconidia microscopically. Diffusable pigment-producing type showed similar findings, except for melanoid diffusible pigment on the Sabouraud media. Yellow type showed a cottony surface and yellow color on the reverse side. Microscipically, findings were the same to portowine type. Noncolored type showed no coloring on the reverse side; otherwise same as those of portowine type. All strains were negative on hair perforation test. One of 40 strains of T. rubrum showed typical gross and microscopic findings of T. rubrum, positive urease test and negative hair perforation test. All these findings suggest T. raubischeckii. This strains was identified for the first time in Korea. T. mentagrophytes was classified into 4 subtypes: granular type, powdery type, purple-red type, and cottony type, according to their color and surface morphology. Granular type showed fawn brown color with coarse granular surface grossly, and many club-shaped macroconodia and grape shaped microconidia but rare spiral hyphae microscopically Powdery type showed cream to buff colored, fine powdery surface, each colony being surrounded by mild cottony border and many club-shaped macroconodia, grape shaped microconidia and spiral hyphae microscopically. Red-purple type showed characteristic red-purple color with cottony and powdery surFace, and microconidia and spiral hyphae microscopically. Cottony type showed abundant whitish cottony surface and many round microconidia microscopically. T. yerrucofum showed a very slowly growing, mountain-like appearance with shallow valley and narrow or wider skirt. Microspcopically, string-bean shaped macroconidia, a few microconidia, and many chlamydoconidia were present. All strains showed positive hair perforation. Nineteen of 30 strains showed negative urease test. All strains grew on Trichophyton media III. Twenty (65.4%) of 31 strains grew on Trichophyton media IV. CONCLUSION: These findings suggest that all dermatophytes should be examined thoroughly to investigate any strain that may be brought in from foreign countries.
Arthrodermataceae ; Daegu* ; Hair ; Humans ; Hyphae ; Korea* ; Tinea ; Trichophyton* ; Urease ; Vitis

Arthrodermataceae ; Daegu* ; Hair ; Humans ; Hyphae ; Korea* ; Tinea ; Trichophyton* ; Urease ; Vitis

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A Case of Sporotrichosis Successfully Treated by Oral Fluconazole.

Moon Bum KIM ; Chang Keun OH ; Ho Sun JANG ; Kyung Sool KWON

Korean Journal of Medical Mycology.1999;4(2):148-152.

No abstract abailble.
Fluconazole* ; Sporotrichosis*

Fluconazole* ; Sporotrichosis*

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Cutaneous Pseudallescheria boydii Infection.

Byung Jun AHN ; Si Hyun LEE ; Dong Seok KIM ; Sang Won KIM

Korean Journal of Medical Mycology.1999;4(2):143-147.

No abstract available.
Pseudallescheria*

Pseudallescheria*

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Spontaneously Healed Primary Cutaneous Alternariosis: Reports of 2 Cases.

Yae Lee CHUNG ; Sung Nam CHANG ; Seung Kyung HANN ; Heun Jung CHO ; Soon Bong SUH ; Kwang Hoon LEE

Korean Journal of Medical Mycology.1999;4(2):137-142.

No abstract available.
Alternariosis*

Alternariosis*

Country

Republic of Korea

Publisher

Korean Society for Medical Mycology

ElectronicLinks

http://www.ksmm.org/s_main

Editor-in-chief

E-mail

Abbreviation

Korean J Med Mycol

Vernacular Journal Title

대한의진균학회지

ISSN

1226-4709

EISSN

Year Approved

2007

Current Indexing Status

Currently Indexed

Start Year

1996

Description

Current Title

Journal of Mycology and Infection

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