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Thakur R, Kalsi AS. Updates on Genital Dermatophytosis. Clin Cosmet Investig Dermatol 2020; 13:743-750. [PMID: 33061514 PMCID: PMC7537836 DOI: 10.2147/ccid.s262704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 08/12/2020] [Indexed: 11/23/2022]
Abstract
Dermatophytes are a group of keratinophilic fungi, which normally cause superficial infection of skin, hair and nails. Based on ecology, they are classified into three groups: anthropophilic, zoophilic and geophilic. Superficial dermatophytic infection of the genital region is called genital dermatophytosis, tinea genitalis or pubo-genital dermatophytosis. In this review, we would like to discuss briefly, the various clinical presentations of genital dermatophytosis, current changes in the taxonomy and nomenclature, introduction of new diagnostic techniques and briefly describe some common dermatophytes and their sources. Also, there are serious concerns associated with the recent development of antifungal resistance among the dermatophytes. We are also facing the scenario of hard-to-treat dermatophytosis.
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Affiliation(s)
- Rameshwari Thakur
- Microbiology and Infection Control, Shivam Orthocare, Una, Himachal Pradesh, India
- Department of Microbiology, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
| | - Avneet Singh Kalsi
- Research, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
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Liu ZH, Xia XJ, Zhang Y, Zhong Y, Sang B, Li QP, Wang M, Lv WW, Zhi HL, Wang XD, Guan CP, Shen H. Favus of Scrotum Due to Trichophyton rubrum in Immunocompetent Patients: A Clinical, Mycological and Ultrastructural Study. Mycopathologia 2019; 184:433-439. [PMID: 30976954 DOI: 10.1007/s11046-019-00337-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 04/06/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE To characterize the clinical and mycological features of favus of scrotum due to Trichophyton rubrum. METHODS A single-site prospective study was carried out in an outpatient dermatology clinic. Microscopic examination and fungal culture were done using skin scrapings. Scales on the scrotum were stained with PAS and visualized by microscopy, including in vivo reflectance confocal microscopy (RCM). Two strains were analyzed by RAPD typing. Scutular lesions were fixed for scanning electron microscopy (SEM) and transmission electron microscopy (TEM). RESULTS Cultures of the scale from the scrotum and/or groin in all patients showed a growth of T. rubrum. T. rubrum strains from scrotum and groins in one patient were demonstrated as the same strain by RAPD typing. The average age of patients was 34.1 ± 12.78 years. The mean course was 8.2 ± 5.07 days. All the patients received only topical treatment for 2 weeks without recurrence. Direct smear, calcofluor-white staining and in vivo RCM study of the scrotal favus in patients showed a massive number of septate branching hyphae, while fewer septate hyphae in scales in the groin. Abundant hyphae were found only in the outer layer of the stratum corneum of the scrotum under SEM and TEM with intact bilateral cell walls, and normal nucleus, liposomes and reticulum. Few distorted hyphae structures, cell wall degeneration, degenerated cytoplasm and the autophagy phenomenon could be seen in scales from groin under TEM. CONCLUSIONS Scrotal favus due to T. rubrum is still a true infection, which most often occurred in immunocompetent patients.
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Affiliation(s)
- Ze-Hu Liu
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China.
| | - Xiu-Jiao Xia
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Yong Zhang
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Yan Zhong
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Bo Sang
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Qiu-Ping Li
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Mei Wang
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Wen-Wen Lv
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Hui-Lin Zhi
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Xiang-Dong Wang
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Cui-Ping Guan
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
| | - Hong Shen
- Department of Dermatology, Affiliated Third Hospital of Hangzhou, Anhui Medical University, West Lake Rd 38, Hanghzou, 310009, People's Republic of China
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Hayette MP, Sacheli R. Unusual Species of Dermatophytes: Rarely Identified or New? Mycopathologia 2016; 182:203-213. [PMID: 27640161 DOI: 10.1007/s11046-016-0066-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Accepted: 09/05/2016] [Indexed: 12/14/2022]
Abstract
Dermatophytes are causing superficial mycosis in animals and humans. Depending on the geophilic, zoophilic or anthropophilic origin of the fungus but also on the immunological status of the patient, symptomatology can widely differ. Nevertheless, each species is currently associated with typical clinical manifestations, even if atypical localizations and/or clinical pictures are sometimes also reported. Diagnostic tools applied to species identification have been changing since the last two decades with the more frequent use of molecular methods currently considered nowadays as reference methods for species identification. It becomes obvious that the algorithm used for the distinction of closely related species needs to combine phenotypic and genomic methods. All these different points are discussed, and the most recent novel species causing or involved in human dermatophytosis are reported.
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Affiliation(s)
- Marie-Pierre Hayette
- Department of Clinical Microbiology, National Reference Centre for Mycosis, University Hospital of Liège, Domaine du Sart Tilman B23, Avenue de l'Hôpital, 1, 4000, Liège, Belgium.
| | - Rosalie Sacheli
- Department of Clinical Microbiology, National Reference Centre for Mycosis, University Hospital of Liège, Domaine du Sart Tilman B23, Avenue de l'Hôpital, 1, 4000, Liège, Belgium
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Tan H, Lan XM, Zhou CJ, Yang XC. Pseudomembranous-like Tinea of the Scrotum Infected by Microsporum Gypseum in a Young Man. Indian J Dermatol 2015; 60:422. [PMID: 26288444 PMCID: PMC4533574 DOI: 10.4103/0019-5154.160531] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Microsporum gypseum is a geographically widespread geophilic fungus that infects animals and humans. M. gypseum infection on the scrotum is very rare and can be easily misdiagnosed because of a lack of inflammatory reaction. Here we describe a patient with pseudomembranous-like tinea of the scrotum resulting from M. gypseum.
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Affiliation(s)
- Huan Tan
- Department of Dermatology, Southwest Hospital of Third Military Medical University, Chongqing, China
| | - Xue-Mei Lan
- Department of Dermatology, Southwest Hospital of Third Military Medical University, Chongqing, China
| | - Cun-Jian Zhou
- Department of Dermatology, Southwest Hospital of Third Military Medical University, Chongqing, China
| | - Xi-Chuan Yang
- Department of Dermatology, Southwest Hospital of Third Military Medical University, Chongqing, China
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Feng J, Liu F, Wu F, De Deng Q, Zeng HM, Kong TQ, Chen J, Sang H. Tinea infection with scutula-like lesions caused by Microsporum gypseum in a SLE patient: case report and literature review. Mycopathologia 2013; 176:255-8. [PMID: 23912467 DOI: 10.1007/s11046-013-9652-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2012] [Accepted: 04/10/2013] [Indexed: 11/27/2022]
Abstract
Scutula are characteristic lesions of tinea favosa or favus; the most frequently identified causative organism is Trichophyton schoenleinii. Although scutula-like lesions were described in Microsporum gypseum infection, their presence on glabrous skin in a patient with SLE has not been reported previously. We report a case of tinea infection with scutula-like lesions caused by Microsporum gypseum in a SLE patient, who was treated with topical terbinafine cream, and the lesions resolved completely. In addition, we reviewed the reported cases about this rare clinical manifestation caused by Microsporum gypseum in the medical literature.
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Affiliation(s)
- Jiao Feng
- Jinling Hospital, Department of Dermatology, School of Medicine, Southern Medical University (Guangzhou), 305 E Zhongshan Road, Nanjing, 210002, Jiangsu Province, China
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Miranda MFR, de Brito AC, Gonçalves RGV, Chaves VJ, Lima DA, Silva GR, Vieira KKS, Dahas N. [Inflammatory lesion with a black scab on the face of a 16-year old girl]. Hautarzt 2005; 56:866-70. [PMID: 15657728 DOI: 10.1007/s00105-004-0891-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- M F R Miranda
- Centro de Ciências da Saúde da Universidade Federal do Pará, Hospital da Fundação Santa Casa de Misericórdia do Pará, Belém (PA), Brasilien.
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