Deep Dermatophytosis Caused by Zoophilic Strain of Trichophyton interdigitale with Successful Treatment of Itraconazole.
We report a 66-year-old female patient with deep dermatophytosis caused by zoophilic strain of Trichophyton interdigitale, a rare granulomatous presentation of Trichophyton species infection in patients with underlying systemic diseases, and she was successfully cured by itraconazole. Since the identification of Trichophyton mentagrophytes complex had been misused for years, a brief discussion of molecular diagnosis and taxonomy of T. mentagrophytes complex is given. The pathogenesis and comparison with cases reported in the literature are also discussed.
School of Medicine, Chung Shan Medical University, Taichung, Taiwan.|Department of Medical Education, Chung Shan Medical University Hospital, Taichung, Taiwan.
Hsuan-An
HA
Su
Department of Dermatology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.|College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Pei-Lun
PL
Sun
School of Medicine, Chung Shan Medical University, Taichung, Taiwan.|Department of Medical Education, Chung Shan Medical University Hospital, Taichung, Taiwan.|Department of Medical Technology, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan.|Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Wen-Wei
WW
Sung
Department of Clinical Laboratory, Chung Shan Medical University Hospital, Taichung, Taiwan.
Su-Ya
SY
Cheng
School of Public Health, Chung Shan Medical University, Taichung, Taiwan.|Library, Chung Shan Medical University Hospital, Taichung, Taiwan.
Hui-Chin
HC
Chang
School of Medicine, College of Medicine, Tzu Chi University, Hualien, Taiwan.|Department of Dermatology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Jen-Hung
JH
Yang
School of Medicine, Chung Shan Medical University, Taichung, Taiwan. missyuping@gmail.com.|Department of Dermatology, Chung Shan Medical University Hospital, No. 110, Sec. 1, Chien-Kuo N. Rd., 402, Taichung, Taiwan. missyuping@gmail.com.
Yu-Ping
YP
Hsiao
D000368:Aged; D000935:Antifungal Agents / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage*; D014005:Tinea / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D016896:Treatment Outcome; D014249:Trichophyton / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*
D000935:Antifungal Agents; D017964:Itraconazole
Deep dermatophytosis; Trichophytic deep dermatophytosis; Trichophyton interdigitale; Trichophyton mentagrophytes complex