[Pustules from the cow barn].
A 54-year-old cattle farmer presented with crusty purulent plaques in the neck area. The clinical picture and microscopical proof of hyphae in the skin smear combined with Wood's lamp testing led to the diagnosis of Tinea barbae, a mycological infection of the skin transmitted by cattle (typically Trichophyton verrucosum). Therapy with itraconazole 200 mg q.d. p.o. and miconazole ointment 1×/day over 2 weeks was successful. This case report and its image are designed to bring attention to this rarely diagnosed pathology.
Richter
O
O
Hals-Nasen-Ohren-Klinik, Kantonsspital St. Gallen, Rorschacherstr. 95, 9007, St. Gallen, Schweiz.
Litschel
R
R
Stöckli
S J
SJ
D000382:Agricultural Workers' Diseases / Q000188:drug therapy / Q000473:pathology*; D000935:Antifungal Agents / Q000627:therapeutic use; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use*; D008297:Male; D008825:Miconazole / Q000627:therapeutic use*; D008875:Middle Aged; D014005:Tinea / Q000188:drug therapy* / Q000473:pathology*; D016896:Treatment Outcome
D000935:Antifungal Agents; D017964:Itraconazole; D008825:Miconazole