UROGENITAL MALASSEZIOSIS IN MEN: FEATURES OF THE CLINICAL COURSE AND MANIFESTATIONS.
Georgian Med News. 2019 Jul-Aug;(292-293):7-11
Authors: Diudiun S, Gorbuntsov V, Diudiun A, Polion N, Polion М
THE AIM OF THE STUDY: determining the features of the clinical manifestations of malassezial infection of the genital organs in men. The main research group included 148 men who revealed the malassezia genital infection. The comparison group included 126 men having been examined for STIs and diagnosed with chlamydia, mycoplasma, trichomonas infection and candidiasis and having not been diagnosed with malassezial infection. To solve the assigned task, the patients have received physical and general clinical and laboratory studies provided by the current regulations of the Ministry of Health of Ukraine, as well as comprehensive clinical and laboratory investigation on STI pathogens; comprehensive clinical and instrumental examination of the urogenital system (ultrasound, urethro- and cystoscopy, X-ray); microscopic and cultural mycological investigations on fungi of the genus Malassezia to establish the etiological diagnosis of malasseziosis. A comparative analysis of the urogenital pathology course and its clinical and morphological manifestations in the patient population has been carried out; it is found that malasseziosis in men usually proceeds chronically with a characteristic tendency of its manifestations to transformation; the clinical manifestations of urogenital malasseziosis in men have a number of features that distinguish it from the manifestations of urogenital pathology of another etiology; urogenital malasseziosis in men almost always reveal manifestations on the skin of the external genital organs and the perigenital area. Based on the results of the study, it can be concluded that the malassezial infection of the genitalia in men has certain features of the clinical course and manifestations that should be considered in clinical practice. The problem of urogenital malasseziosis, taking into account the possibility of its spread, the features of diagnosis and treatment, may be considered as an urgent problem of the up-to-date clinical practice, which deserves more complete coverage and further research.
PMID: 31560654 [PubMed - in process]