scholarly journals A Case of Tinea Pseudoimbricata by Trichophyton tonsurans

2021 ◽  
pp. 13-16
Author(s):  
Jeongsoo Lee ◽  
Yongwoo Choi ◽  
Joonsoo Park

Tinea imbricata is a unique dermatophytosis caused by Trichophyton concentricum, observed endemically in subtropical to torrid zones. It is characterized by development of impressive concentric rings on the trunk or limbs. And few dermatophytosis cases mimicking this disease are reported as "tinea pseudoimbricata". Herein, we report a case of tinea pseudoimbricata caused by T. tonsurans with multiple concentric annular erythemas. The common clinical manifestations of T. tonsurans infection are tinea capitis and tinea corporis. However, tinea imbricate-like lesions are very rare. Fungal culture and microscopic findings confirmed a T. tonsurans infection in this case. The patient was treated with topical isoconazle and additional oral terbinafine.

2011 ◽  
Vol 91 (6) ◽  
pp. 708-710 ◽  
Author(s):  
A Hryncewicz-Gwóźdź ◽  
V Beck-Jendroschek ◽  
J Brasch ◽  
K Kalinowska ◽  
T Jagielski

Author(s):  
Anjani Kumar Shukla ◽  
Bibhuti Bhushan ◽  
Dharmendra Kumar Mishra ◽  
Shyam Sundar Chaudhary ◽  
Mihir Kumar Jha ◽  
...  

<p class="abstract"><strong>Background:</strong> Tinea capitis (TC) is a common dermatophyte infection affecting primarily prepubertal children. The present study has been designed to assess the clinico-etiological profile of the T capitis and to compare the efficacy and tolerability of terbinafine with griseofulvin.</p><p class="abstract"><strong>Methods:</strong> One hundred fifty eight patients of T. capitis were divided into two groups of 79 patients each to receive either oral griseofulvin or terbinafine (according to weight). Patients in both the groups were followed up at 2, 4, 12 and 36 weeks. At every visit, clinical improvement was evaluated using clinical assessment severity score and the compliance, tolerability and side effects of the drugs were assessed along with KOH microscopy, fungal culture from the lesion and relevant blood investigations.<strong></strong></p><p class="abstract"><strong>Results:</strong> The clinical assessment score were statistically similar in group G and group T at the start of therapy. The decline in scores in both treatment groups was statistically significant at each follow up visit. In griseofulvin group, the mean score was declined from 5.9 at baseline to 4.24 at week 2 and 2.79 at week 4, 0.82 at week 12 and 1.24 at 36 week. In the terbinafine group, the score had a mean of 6.23 at 0 week and 4.03 at week 2, 2.32 at week 4, 0.69 at week 12 and 0.83 at week 36.</p><p><strong>Conclusions:</strong> At follow up study long lasting tissue effect of terbinafine was found but effect of griseofulvin was waned at 36 week. So terbinafine may be better option with similar side effect profile but it is better in residual clinical and mycological effect at higher cost.</p>


2020 ◽  
Vol 103 (5) ◽  
pp. 2127-2128
Author(s):  
Mohammad Akhoundi ◽  
Anthony Marteau ◽  
Maryvonne Lintanf ◽  
Arezki Izri ◽  
Sophie Brun

2016 ◽  
Vol 6 (2) ◽  
pp. 34
Author(s):  
Franky Chandra

Objective: Tinea capitis is a common dermatophyte infection affecting hair and skin which always requires systemic treatment to get a clinical and mycologic cure, preventing relapse, and infection spread. Griseofulvin has been the antifungal therapy of choice for tinea capitis, but it often requires higher doses and a longer duration than recommended. Thus, effective alternative antifungal with good oral tolerability and shorter course of treatment are therefore required. The objective of this report is to evaluate the effectiveness of double pulse dose terbinafine for tinea capitis alternative therapy.Method: A case of kerion type of tinea capitis in a two-year-old girl was reported. Diagnosis was established based on clinical manifestations of alopecia, presented as erythematous macule with pustules, hemorrhagic crusts, and scales on the scalp, accompanied with occipital lymphadenopathy. Fungal culture showed growth of Microsporum canis (M. canis) colonies. Patient was treated with doubled pulse dose terbinafine 125 mg/day and 2% ketoconazole shampoo for two months.Result: Clinical improvements were found on 35th day of follow up, while mycologic cure was achieved on 60th day of follow up. Tolerability was excellent and no side effects observed.Conclusion: Double pulse dose terbinafine is effective for kerion type of tinea capitis. Key words: double pulse dose, kerion, M. canis, terbinafine, tinea capitis


2017 ◽  
Vol 22 (1) ◽  
pp. 94-96 ◽  
Author(s):  
Jesse M. Fike ◽  
Ramya Kollipara ◽  
Suzanne Alkul ◽  
Cloyce L. Stetson

Background: Microsporum gypseum is a geophilic dermatophyte that colonises keratinous substances in the soil. Fur-bearing animals carry this dermatophyte but are rarely infected. Human infection can be acquired from the soil, carrier or infected animals, and rarely other humans. M gypseum is an uncommon cause of cutaneous infection in humans and typically manifests as tinea corporis, tinea barbae, and tinea capitis. Onychomycosis is rarely caused by M gypseum. Case Summary: We present a case of a 32-year-old white man who presented with a red scaly rash and nail dystrophy after adopting a pet rat 10 years prior to presentation. A fungal culture of a nail clipping grew out M gypseum, and the patient was treated with terbinafine daily for 6 weeks for dystrophic onychomycosis and tinea corporis. After the 6 weeks of treatment, the erythema at the proximal nail fold and distal finger had improved but still persisted. An additional 6 weeks of terbinafine daily completely resolved the clinical manifestations of onychomycosis. Conclusion: The increase in incidence of M gypseum onychomycosis over the past 2 decades is thought to be due to phylogenetic evolution of the dermatophyte from soil saprophyte to a human parasite. Increasing domestication of mammals is also thought to contribute to increasing incidence. Treatment consists of an extended course of terbinafine or itraconazole.


2015 ◽  
pp. 133-135
Author(s):  
Alita Sombatmaithai ◽  
Penvadee Pattanaprichakul ◽  
Papapit Tuchinda ◽  
Theetat Surawan ◽  
Chanai Muanprasart ◽  
...  

Tinea capitis is unusual and often misdiagnosed in healthy adults. We report a case of a healthy woman with a several-year history of asymptomatic, bizarre-shaped, non-scarring alopecia. She had used over-the-counter ketoconazole shampoo regularly for a long time. An initial potassium hydroxide preparation showed negative result for fungal organism. The scalp biopsy revealed endothrix infection, and dermoscopic examination demonstrated the comma hair and corkscrew hair signs. The fungal culture showed Trichophyton tonsurans. The daily use of antifungal shampoo could be the important factor to conceal clinical and laboratory findings for diagnosis of T. tonsurans tinea capitis in our case, which required high clinical suspicion and histopathology and dermoscopic examinations.


2019 ◽  
Vol 34 (3) ◽  
pp. 137-145
Author(s):  
Khawila S. O. Bubaker

The aim of this study was to isolate and identify dermatomycosis causing dermatophysis in EL- Beida, Libya. In this study  253 cases of skin infection were collected from the dermatology unit at  EL- Thoura hospital in EL- Beida, Libya. These cases clinically diagnosed as superficial mycosis ,130 ( 51.4%) were isolated from males and  123 ( 48.6% )  were females. These cases were classified into 5 groups according to age (1-10, 11-20, 21-31, 31-40 and above 40 year). Our results showed that young ages were more liable to infection than adult. The cases  involved in this investigation represented different occupations. The highest incidence was recorded between school children 40.3 %, followed by workers, farmers and others  29.2%, house wives  17.8%  while it was 12.6% among children less than 5 years. Concerning the clinical and mycological finding, it was noticed that 74 (63.8%) cases gave positive culture while the remaining cases were negative. Scalp infection was the most common clinical finding, in this study Tinea capitis was the most frequent  42.8%  cases,  Microsporum canis and Trich ophyton violaceum were the most common fungi isolated. Tinea corporis and Tinea cruris were diagnosed clinically in 68 (26.8%) cases,  24.4% were from  Tinea corporis while the fungus isolated were   Microsporum canis 41% , Epidermophyton floccosum  14% and Tinea cruris with incidence of  0.8% in which Trichophyton  tonsurans was the only fungus isolated . Onychomycosis and Tinea pedis were seen in  3.4% and the most important isolated agents were  Epidermophyton floccosum 50%, followed by  Microsporum canis and Trichophyton rubrum  25% for each.  This study demonstrates that the prevalence of dermatophytoses in EL- Beida cit, was high (47%), and was more common in males than females. The present study has also indicated that tinea capitis was the dominant (43%).


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