title: Outbreak of Tinea capitis and corporis in a primary school in Antananarivo, Madagascar.
abstract: BACKGROUND
  Tinea capitis is common among schoolchildren in developing countries but underreported in Madagascar. We report the occurrence of an outbreak of gray patch tinea capitis due to Microsporum langeronii in a public primary school of Antananarivo, the capital city of Madagascar.
  
  
  METHODS
  Forty-two children were included, 27 (64%) of them presenting with tinea capitis and 32 (76%) with Tinea corporis. Patients were treated with griseofulvin 500 mg and Povidone-iodine 4% and followed up for four weeks.
  
  
  RESULTS
  Twenty-five (93%) of the 27 children with tinea capitis presented a gray patch as the main clinical feature. All these cases were fluorescent under Wood's UV light and positive in cultures for M. langeronii. All 27 children reported a contact with infected classmates, and 19 (70%) reported to have infected brothers and sisters at home. After four weeks of treatment, all patients recovered.
  
  
  CONCLUSIONS
  Appropriate treatment and improved hygienic practices reduced the occurrence of tinea in the studied school and no more cases of tinea capitis or corporis occurred after the outbreak.
authors: Institut Pasteur de Madagascar, BP 1274 Antananarivo 101, Madagascar. jfcarod@yahoo.es
authors: Jean-François
authors: JF
authors: Carod
authors: Mahery
authors: M
authors: Ratsitorahina
authors: Hasina
authors: H
authors: Raherimandimby
authors: Virginie
authors: V
authors: Hincky Vitrat
authors: Vololomboahangy
authors: V
authors: Ravaolimalala Andrianaja
authors: Nelly
authors: N
authors: Contet-Audonneau
mesh_terms: D000293:Adolescent; D000818:Animals; D000935:Antifungal Agents / Q000008:administration & dosage; D002648:Child; D004196:Disease Outbreaks; D005260:Female; D006118:Griseofulvin / Q000008:administration & dosage; D006801:Humans; D017053:Infection Control / Q000379:methods; D008270:Madagascar / Q000453:epidemiology; D008297:Male; D008864:Microsporum / Q000302:isolation & purification*; D011206:Povidone-Iodine / Q000008:administration & dosage; D012574:Schools; D014005:Tinea / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D006118:Griseofulvin; D011206:Povidone-Iodine