Characteristic of Subcutaneous Mycosis Patients at Prof. Dr. I.G.N.G Hospital, Denpasar, Bali: An Observational Retrospective Study

Abstract

Introduction: Subcutaneous mycosis infections can occur in tropical and subtropical countries. Indonesia’s geographic location is in a tropical country and is a developing country with the majority of its population working in agriculture, which is a risk factors associated with subcutaneous mycosis. Methods: This is a retrospective observational descriptive study with a cross-sectional design. Data were obtained through medical records from all patients who came for treatment in Prof IGNG Ngoerah General Hospital Denpasar from January 2018 to December 2023. The inclusion criteria in this study were all patients diagnosed with subcutaneous mycosis. The variables studied were age, gender, occupation, comorbidities, first symptoms, skin efflorescence, dermatoscopy finding, and type of mycosis based on yeast culture. Results: A total of 21 cases of subcutaneous mycosis within 5 years. The majority of patients were female, (67%), with the most common age group being 45-64 years (57%). Based on occupation, farmers account for at most (33%). The majority of patients had itchiness (33%) and redness (33%) as the first symptoms, nodule erythema was the most common skin efflorescence (57%), and the most common dermatoscopy finding was yellow dots (57%). The most common fungal infection based on culture was chromoblastomycosis (71%). Conclusion: The majority of patients of subcutaneous mycosis were female, with age group 45-64 years old, and farmers. Itchiness and redness were the common symptoms of the disease. On examination, nodule erythema is the most common skin efflorescence. Chromoblastomycosis was the most common type of infection.