title: A different kind of hedgehog pathway: tinea manus due to Trichophyton erinacei transmitted by an African pygmy hedgehog (Atelerix albiventris).
abstract: The unusual case of a 29-year-old woman with tinea manus caused by infection due to Trichophyton erinacei is described. The patient presented with marked erosive inflammation of the entire fifth finger of her right hand. Mycological and genomic diagnostics resulted in identification of T. erinacei as the responsible pathogen, which had been transmitted by a domestic African pygmy hedgehog, Atelerix albiventris. Upon prolonged treatment with topical and systemic antifungal agents skin lesions slowly resolved. This case illustrates that the increasingly popular keeping of extraordinary pets such as hedgehogs may bear the risk of infections with uncommon dermatophytes.
authors.affiliation: Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.
authors.forename: Julia
authors.initials: J
authors.lastname: Weishaupt
authors.forename: Annette
authors.initials: A
authors.lastname: Kolb-Mäurer
authors.forename: Sigrid
authors.initials: S
authors.lastname: Lempert
authors.forename: Pietro
authors.initials: P
authors.lastname: Nenoff
authors.forename: Silke
authors.initials: S
authors.lastname: Uhrlaß
authors.forename: Henning
authors.initials: H
authors.lastname: Hamm
authors.forename: Matthias
authors.initials: M
authors.lastname: Goebeler
mesh_terms: D000818:Animals; D000935:Antifungal Agents / Q000627:therapeutic use; D005260:Female; D006225:Hand / Q000473:pathology*; D006364:Hedgehogs / Q000382:microbiology*; D006801:Humans; D014005:Tinea / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D016896:Treatment Outcome; D014249:Trichophyton / Q000302:isolation & purification*; D015047:Zoonoses / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*
chemical_list: D000935:Antifungal Agents
keywords: Atelerix albiventris; Trichophyton erinacei; hedgehog; terbinafine; tinea manus; zoonosis