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The first case of tinea faciei caused by Trichophyton mentagrophytes var. erinacei isolated in Chile.
Int J Dermatol. 2012 Mar; 51(3):283-5.IJ

Abstract

BACKGROUND

Trichophyton mentagrophytes var. erinacei is a zoophilic dermatophyte transmitted by hedgehogs which human infections manifest as highly inflammatory and pruritic eruptions.

METHODS

We report a 21-year-old woman who presented with a two-week history of a pruritic scaly erythematous plaque on the nose. The patient had kept hedgehogs as pets, and one had bitten her on the tip of the nose two months prior to the appearance of the nasal lesion.

RESULTS

Fungal culture from the scales on the tip of the patient's nose was compatible with T. mentagrophytes var. erinacei. The strains isolated from cultures made from samples taken from the noses and ears of the pet hedgehogs were morphologically similar to the strain isolated from the patient. Morphological identification was confirmed by sequencing the internal transcribed spacer. The lesion was diagnosed as tinea faciei, and therapy was initiated with topical and systemic terbinafine 250mg/day for eight weeks, which resulted in complete improvement.

CONCLUSIONS

Trichophyton mentagrophytes var. erinacei is the most common dermatophyte isolated in hedgehogs. Usually T. mentagrophytes var. erinacei infection manifests as an extremely inflammatory and pruritic eruption that is confined to the site of contact with the hedgehog. Although the identification of T. mentagrophytes by traditional methods is possible, identification by ITS region analysis is a fast, simple, and increasingly available method. The increasing frequency of the practice of keeping exotic animals as pets has resulted in the emergence of several zoonotic diseases that can potentially be transmitted to humans.

Authors+Show Affiliations

Departments of Dermatology Infectology Clinical Laboratory, Pontifical Catholic University of Chile, Santiago, Chile. marcelaconchar@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22348562

Citation

Concha, Marcela, et al. "The First Case of Tinea Faciei Caused By Trichophyton Mentagrophytes Var. Erinacei Isolated in Chile." International Journal of Dermatology, vol. 51, no. 3, 2012, pp. 283-5.
Concha M, Nicklas C, Balcells E, et al. The first case of tinea faciei caused by Trichophyton mentagrophytes var. erinacei isolated in Chile. Int J Dermatol. 2012;51(3):283-5.
Concha, M., Nicklas, C., Balcells, E., Guzmán, A. M., Poggi, H., León, E., & Fich, F. (2012). The first case of tinea faciei caused by Trichophyton mentagrophytes var. erinacei isolated in Chile. International Journal of Dermatology, 51(3), 283-5. https://doi.org/10.1111/j.1365-4632.2011.04995.x
Concha M, et al. The First Case of Tinea Faciei Caused By Trichophyton Mentagrophytes Var. Erinacei Isolated in Chile. Int J Dermatol. 2012;51(3):283-5. PubMed PMID: 22348562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The first case of tinea faciei caused by Trichophyton mentagrophytes var. erinacei isolated in Chile. AU - Concha,Marcela, AU - Nicklas,Claudia, AU - Balcells,Elvira, AU - Guzmán,Ana María, AU - Poggi,Helena, AU - León,Eugenia, AU - Fich,Felix, PY - 2012/2/22/entrez PY - 2012/2/22/pubmed PY - 2012/6/12/medline SP - 283 EP - 5 JF - International journal of dermatology JO - Int. J. Dermatol. VL - 51 IS - 3 N2 - BACKGROUND: Trichophyton mentagrophytes var. erinacei is a zoophilic dermatophyte transmitted by hedgehogs which human infections manifest as highly inflammatory and pruritic eruptions. METHODS: We report a 21-year-old woman who presented with a two-week history of a pruritic scaly erythematous plaque on the nose. The patient had kept hedgehogs as pets, and one had bitten her on the tip of the nose two months prior to the appearance of the nasal lesion. RESULTS: Fungal culture from the scales on the tip of the patient's nose was compatible with T. mentagrophytes var. erinacei. The strains isolated from cultures made from samples taken from the noses and ears of the pet hedgehogs were morphologically similar to the strain isolated from the patient. Morphological identification was confirmed by sequencing the internal transcribed spacer. The lesion was diagnosed as tinea faciei, and therapy was initiated with topical and systemic terbinafine 250mg/day for eight weeks, which resulted in complete improvement. CONCLUSIONS: Trichophyton mentagrophytes var. erinacei is the most common dermatophyte isolated in hedgehogs. Usually T. mentagrophytes var. erinacei infection manifests as an extremely inflammatory and pruritic eruption that is confined to the site of contact with the hedgehog. Although the identification of T. mentagrophytes by traditional methods is possible, identification by ITS region analysis is a fast, simple, and increasingly available method. The increasing frequency of the practice of keeping exotic animals as pets has resulted in the emergence of several zoonotic diseases that can potentially be transmitted to humans. SN - 1365-4632 UR - https://www.unboundmedicine.com/medline/citation/22348562/The_first_case_of_tinea_faciei_caused_by_Trichophyton_mentagrophytes_var__erinacei_isolated_in_Chile_ L2 - https://doi.org/10.1111/j.1365-4632.2011.04995.x DB - PRIME DP - Unbound Medicine ER -