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 1year 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.

Advances in microbiology, infectious diseases and public health: Refractory Trichophyton rubrum infections in Turin, Italy: a problem still present

TULLIO, Viviana Cristina;CERVETTI, Ornella;ROANA, Janira;SCALAS, Daniela;MERLINO, Chiara;ALLIZOND, Valeria;BANCHE, Giuliana;MANDRAS, Narcisa;CUFFINI, Annamaria
2016

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 1year 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.
ADVANCES IN MICROBIOLOGY, INFECTIOUS DISEASES AND PUBLIC HEALTH
Springer International Publishing
ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY
901
17
23
978-3-319-27934-3
http://www.springer.com/series/13513
Chronic dermatophytosis, misdiagnosis, Trichophyton rubrum
Tullio, V; Cervetti, O; Roana, J; Panzone, M; Scalas, D; Merlino, C; Allizond, V; Banche, G; Mandras, N; Cuffini, AM
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1617533
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