{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T14:50:01Z","timestamp":1791557401488,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,10,31]],"date-time":"2018-10-31T00:00:00Z","timestamp":1540944000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81401650"],"award-info":[{"award-number":["81401650"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Emergence of highly inflammatory genital dermatophyte infections has been reported from Southeast Asia. In view of this, knowledge of the non\u2010outbreak fungal flora of the genitals is required as a baseline study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We present our 12\u2010year experience in a tertiary clinic with the diagnosis of scrotal fungal infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was performed of patients with a diagnosis of scrotal fungal infections proven by direct microscopy and culture. Clinical, mycological and treatment data were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 35 male patients were identified, of which 27 concerned dermatophyte infections and eight were yeasts. <jats:italic>Nannizzia gypsea<\/jats:italic> was the most common agent (48.6%), presenting as thick pseudomembraneous lesions limited to the scrotum. <jats:italic>Trichophyton rubrum<\/jats:italic> (22.9%) and <jats:italic>Epidermophyton floccosum<\/jats:italic> (5.7%) mainly presented erythematous, dry and scaly lesions and involving more sites besides the scrotum. <jats:italic>Candida albicans<\/jats:italic> (n\u00a0=\u00a03), <jats:italic>C.\u00a0glabrata<\/jats:italic> (n\u00a0=\u00a02), <jats:italic>C.\u00a0guilliermondii<\/jats:italic> (n\u00a0=\u00a01) and <jats:italic>Trichosporon asteroides<\/jats:italic> (n\u00a0=\u00a01), presented various lesions. Sports, sweating and concurrent tineas are hypothesised as predisposing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalent causative agent of scrotum infections is <jats:italic>N.\u00a0gypsea<\/jats:italic>, but wide species diversity is observed. All infections show mild skin inflammation. It is suggested that this genital fungal flora represents the current situation prior to clonal dermatophyte outbreaks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.12859","type":"journal-article","created":{"date-parts":[[2018,10,11]],"date-time":"2018-10-11T13:16:34Z","timestamp":1539263794000},"page":"284-290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Prevalence of low inflammatory tinea genitalis in southern China"],"prefix":"10.1111","volume":"62","author":[{"given":"Songchao","family":"Yin","sequence":"first","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyuan","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Dermatology Third Affiliated Hospital Sun Yat\u2010sen University  Guangzhou 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