title: Polyclonality of Trichophyton rubrum Isolates in aDermatophytosis Patient with Multiple Lesions.
abstract: We cultured 15 isolates of Trichophyton rubrum and one isolate of Trichophyton mentagrophytes from an 82-year-old male tinea patient with multiple lesions. To determine whether feet lesions were the source of dermatophytes of other tinea lesions, we extracted total cellular DNA from the T. rubrum isolates（13 from feet, two from right waist and buttock）. PCR targeting the non-transcribed spacer（NTS）region of ribosomal RNA gene was performed. Molecular polymorphisms were detected by length variation of amplicons.Four molecular types were found among the 15 isolates. The predominant type, which we previously named Type III, comprised seven isolates cultured from both feet and from left waist and buttock. This was followed by Type VI, five isolates; Type V, two isolates; and Type IV, one isolate. Apart from type III, which was cultured from both feet, isolates were cultured from one foot only. The patient was successfully treated for all types with a six-month course of oral terbinafine and topical luliconazole. The molecular typing supported the notion that tinea pedis was the source of tinea corporis in the patient.
authors.affiliation: Department of Dermatology, Kanazawa Medical University.
authors.forename: Kiminobu
authors.initials: K
authors.lastname: Takeda
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Mochizuki
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Izumi
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Sakata
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ushigami
authors.forename: Akiko
authors.initials: A
authors.lastname: Nishibu
authors.forename: Kazushi
authors.initials: K
authors.lastname: Anzawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Mochizuki
mesh_terms: D000284:Administration, Oral; D000287:Administration, Topical; D000369:Aged, 80 and over; D002081:Buttocks / Q000382:microbiology; D004271:DNA, Fungal / Q000302:isolation & purification; D005528:Foot / Q000382:microbiology; D006801:Humans; D007093:Imidazoles / Q000008:administration & dosage; D008297:Male; D009281:Naphthalenes / Q000008:administration & dosage; D016133:Polymerase Chain Reaction; D011110:Polymorphism, Genetic; D012335:RNA, Ribosomal / Q000235:genetics; D012867:Skin / Q000382:microbiology; D000077291:Terbinafine; D014005:Tinea / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome; D014249:Trichophyton / Q000145:classification / Q000235:genetics* / Q000302:isolation & purification*
chemical_list: D004271:DNA, Fungal; D007093:Imidazoles; D009281:Naphthalenes; D012335:RNA, Ribosomal; D000077291:Terbinafine; C112528:luliconazole