SciELO - Scientific Electronic Library Online

 
vol.33 issue5Previous administration of antibiotic as factor related to urinary infection due to E. coli producers of ESBL of community origin in diabetic patientsSleep disorders in the critically ill patient. An event of great impact and little taken into account. author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Medicina interna de México

Print version ISSN 0186-4866

Abstract

BELLO-HERNANDEZ, Y. et al. Prevalence of Malassezia spp in type 2 diabetes mellitus according to glycemic control. Med. interna Méx. [online]. 2017, vol.33, n.5, pp.612-617. ISSN 0186-4866.  http://dx.doi.org/10.24245/mim.v33i5.1557.

BACKGROUND:

Malassezia spp is a saprophyte of the skin, related to diverse cutaneous affections, and has been reported a high frequency in patients with immunosuppression.

OBJECTIVE:

To determine the prevalence of Malassezia spp in individuals with type 2 diabetes mellitus according to glycemic control.

MATERIAL AND METHOD:

An open, observational, descriptive and cross-sectional study was performed in volunteer patients who participated in the 24th National March of the Patient with Diabetes in Mexico City on October 15, 2016; where preprandial capillary glycemia and glycosylated hemoglobin were taken. We took a scraping of the malar region skin to find Malassezia spp, smears stained with methylene blue.

RESULTS:

A total of 49 patients with type 2 diabetes mellitus were included; there were a predominance of 31 patients without glycemic control (67%) in comparison with 16 controlled patients (33%). Smears with low yeast (+) were present in 21 (59%) uncontrolled patients and in 7 (41%) controlled patients; smears with a moderate amount of yeast (++) were present in 7 (74%) uncontrolled patients and in 5 (26%) controlled patients; smears with abundant yeasts were present in 7 (63%) uncontrolled patients and in 2 (37%) controlled patients.

CONCLUSION:

In our study the prevalence of Malassezia spp in patients with type 2 diabetes mellitus was of 100%, with a lower number of yeasts in patients with adequate glycemic control; this can indicate that the possibility of presenting this yeast increases with bad glycemic control and probably denotes the degree of immunosuppression in these patients.

Keywords : diabetes mellitus type 2; Malassezia spp; glycosylated hemoglobin; HbA1c; glycemic control.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )