title: Advances in Microbiology, Infectious Diseases and Public Health: Refractory Trichophyton rubrum Infections in Turin, Italy: A Problem Still Present.
abstract: Dermatophytosis caused by Trichophyton rubrum is the most common cutaneous fungal infection in industrialized countries and worldwide with high recurrence and lack of treatment response. In addition, patients with cutaneous and concurrent toenail lesions are often misdiagnosed and therefore treated with an inappropriate therapy. In this study, we evaluated five previously misdiagnosed cases of T.rubrum chronic dermatophytosis sustained by two variants at sites distant from the primary lesion. Our patients were successfully treated by systemic and topical therapy, and 1 year after the end of therapy follow-up did not show any recurrence of infection.Our data indicate that the localization of all lesions, the isolation and the identification of the causative fungus are essential to establish the diagnosis and the setting of a correct therapeutic treatment to avoid recurrences.
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy.
authors.forename: Vivian
authors.initials: V
authors.lastname: Tullio
authors.affiliation: Department of Medical Sciences, University of Turin, Turin, Italy.
authors.forename: Ornella
authors.initials: O
authors.lastname: Cervetti
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy.
authors.forename: Janira
authors.initials: J
authors.lastname: Roana
authors.affiliation: A.O.U. Città della Salute e della Scienza, San Lazzaro Hospital, Turin, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Panzone
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Scalas
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Merlino
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Allizond
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy.
authors.forename: Giuliana
authors.initials: G
authors.lastname: Banche
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy.
authors.forename: Narcisa
authors.initials: N
authors.lastname: Mandras
authors.affiliation: Bacteriology and Mycology Laboratory, Department of Public Health and Pediatrics, University of Torino, via Santena 9, 10126, Turin, Italy. annamaria.cuffini@unito.it.
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Cuffini
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D011634:Public Health; D014005:Tinea / Q000382:microbiology*; D014249:Trichophyton / Q000235:genetics / Q000302:isolation & purification* / Q000502:physiology
keywords: Chronic dermatophytosis; Misdiagnosis; Trichophyton rubrum