AI Article Synopsis

  • A case study reports a human infection of tinea corporis caused by a dermatophyte, commonly found in rodents and camels, highlighting its ability to infect humans after the patient had contact with camels.
  • The 15-year-old girl presented with a large, pruritic, cup-shaped lesion on her wrist, which was diagnosed through skin scraping and culture, revealing the infectious organism's unique morphology.
  • Successful treatment was achieved using oral terbinafine and topical ketoconazole, but the study emphasizes that this dermatophyte is often misidentified, indicating the need for better awareness and identification methods in similar cases, especially in Iran where it was previously unreported.

Article Abstract

Background And Purpose: , a known zoophilic dermatophyte responsible for favus form in rodents and camels, is occasionally reported to cause human infections.

Case Report: This study aimed to report a case of tinea corporis caused by that experienced annular erythematous pruritic plaque with abundant purulent secretions. In June 2021, a 15-year-old girl with an erythematous cup shape lesion on the right wrist bigger than 3 cm in diameter was examined for tinea corporis. Since March, 2016 her family has kept several camels at home. Direct examination of skin scraping and purulent exudates revealed branching septal hyaline hyphae and arthrospore. Morphological evaluation of the recovered isolate from the culture and sequencing of ITS1-5.8S rDNA-ITS2 region resulted in the identification of . Antifungal susceptibility testing showed that this isolate had low minimum inhibitory concentration (MIC) values for luliconazole, terbinafine, and tolnaftate, but high MICs to itraconazole, fluconazole, posaconazole, miconazole, isavuconazole, ketoconazole, clotrimazole, and griseofulvin. However, the patient was successfully treated with oral terbinafine and topical ketoconazole.

Conclusion: It can be said that is often missed or misidentified due to its morphological similarity to / or other similar species. This dermatophyte species is first reported as the cause of tinea corporis in Iran. As expected, a few months after our study, was detected in other areas of Iran, in a few cases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509498PMC
http://dx.doi.org/10.32598/CMM.2023.1344DOI Listing

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