title: [Outbreak of Trichophyton tonsurans ringworm in a health area of the Community of Madrid (Spain)].
abstract: BACKGROUND
  Trichophyton tonsurans is a dermatophyte fungus that can cause ringworm outbreaks. In our health area in September 2013, two cases of T. tonsurans ringworm were diagnosed in children who lived in a Children's Centre.
  
  
  OBJECTIVE
  To determine the origin and extent of the outbreak.
  
  
  METHODS
  Mycological cultures of scalp and skin samples from the contacts of the diagnosed cases were performed, as well as environmental samples from the Children's Centre. The patients started with a treatment for their ringworm, and an environmental disinfection of the centre was performed.
  
  
  RESULTS
  Twelve cases of ringworm were detected, along with three asymptomatic scalp carriers of T. tonsurans among 20 children in the Centre. The index case was a resident in whose family, that had just returned from their country of origin, Nigeria, three cases of ringworm were diagnosed. From November 2013 to February 2014 another five cases of ringworm were diagnosed among schoolmates of three cases from the Children's Centre.
  
  
  CONCLUSIONS
  The antifungal treatment of the children resulted in the mycological and clinical resolution, and from February to November 2014 no other cases of ringworm by T. tonsurans in the same health area were diagnosed.
authors.affiliation: Servicio de Microbiología, Hospital Universitario de Móstoles, Madrid, España. Electronic address: mteresa.duran@salud.madrid.org.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Durán-Valle
authors.affiliation: Servicio de Microbiología, Hospital Universitario de Móstoles, Madrid, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Regodón-Domínguez
authors.affiliation: Sección de Epidemiología, Servicio de Salud Pública del Área 8 de la Comunidad de Madrid, Madrid, España.
authors.forename: Manuel José
authors.initials: MJ
authors.lastname: Velasco-Rodríguez
authors.affiliation: Sección de Epidemiología, Servicio de Salud Pública del Área 8 de la Comunidad de Madrid, Madrid, España.
authors.forename: Andrés
authors.initials: A
authors.lastname: Aragón
authors.affiliation: Servicio de Microbiología, Hospital Universitario de Móstoles, Madrid, España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Gómez-Garcés
mesh_terms: D000293:Adolescent; D000328:Adult; D002353:Carrier State / Q000453:epidemiology / Q000382:microbiology; D002391:Catchment Area, Health; D002648:Child; D002675:Child, Preschool; D016358:Contact Tracing; D004196:Disease Outbreaks; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009549:Nigeria / Q000208:ethnology; D012112:Residential Facilities; D012535:Scalp / Q000382:microbiology; D012867:Skin / Q000382:microbiology; D013030:Spain / Q000453:epidemiology; D014005:Tinea / Q000453:epidemiology* / Q000382:microbiology; D014006:Tinea Capitis / Q000453:epidemiology / Q000382:microbiology; D014249:Trichophyton / Q000302:isolation & purification*; D014505:Urban Population
keywords: Asymptomatic carrier; Epidemia; Outbreak; Portador asintomático; Tinea capitis; Tinea corporis; Tinea faciei; Trichophyton tonsurans