Diagnosis of TC was established at the LPM/ADUH in Dakar, on the basis of mycological examination including direct microscopy and culture as previously described [7 (link)]. Microscopic direct examination of all specimens was carried out in 20% KOH mount. All specimens were cultured on two plates/tubes, one containing Sabouraud dextrose agar (SDA) supplemented with chloramphenicol (Bio-Rad, Paris, France), and the other one containing SDA supplemented with chloramphenicol plus cycloheximide (Bio-Rad, France). Cultures were incubated at 25–30 °C and evaluated for growth after 48 h and then once weekly for a month. Positive specimens for dermatophytes were identified according to three criteria: growth rate, macroscopic and microscopic characteristics of colonies and sometimes on biochemical characteristics such as a urease test [8 ,9 (link)].
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