title: Problems in the diagnosis of profound trichophytosis barbae.
abstract: Zoophilic species of human dermatophytoses, such as Trichophyton mentagrophytes are significantly rare. We present a case of a 42-year-old male who for 2 months had been unsuccessfully treated and then referred to hospital with suspected actinomycosis. Lesions on the skin on his neck, submandibular area, cheeks and groins were consistent with extremely painful, merging inflammatory tumours and infiltrations with the presence of numerous pustules in hair follicles that poured purulent contents forming into yellow crusts after compression. The treatment with terbinafine was successful. The final identification of the Trichopyton mentagrophytes var. granulosum strain was performed based on a microscopic assessment of the culture, and the result of species identification was confirmed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis.
authors.affiliation: Department of Infectious Diseases and Hepatology, Faculty of Medicine, T. Browicz Provincial Infectious Diseases Hospital, Bydgoszcz, Poland.
authors.forename: D
authors.initials: D
authors.lastname: Kozielewicz
authors.forename: J
authors.initials: J
authors.lastname: Wernik
authors.forename: A
authors.initials: A
authors.lastname: Mikucka
authors.forename: A
authors.initials: A
authors.lastname: Ciesielska
authors.forename: E
authors.initials: E
authors.lastname: Kruszynska
authors.forename: E
authors.initials: E
authors.lastname: Gospodarek
authors.forename: M
authors.initials: M
authors.lastname: Pawlowska
authors.forename: W
authors.initials: W
authors.lastname: Halota
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D005148:Facial Dermatoses / Q000209:etiology* / Q000382:microbiology / Q000473:pathology*; D006197:Hair / Q000382:microbiology*; D006801:Humans; D008297:Male; D008828:Microbiological Techniques; D009281:Naphthalenes / Q000627:therapeutic use; D016133:Polymerase Chain Reaction; D012150:Polymorphism, Restriction Fragment Length; D000077291:Terbinafine; D014005:Tinea / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D016896:Treatment Outcome; D014249:Trichophyton / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*
chemical_list: D000935:Antifungal Agents; D009281:Naphthalenes; D000077291:Terbinafine