Treatment of the tinea barbae caused by a zoophilic strain of Trichophyton verrucosum.

Dermatophytes infection due to Trichophyton verrucosum are not frequent in Europe. A deep inflammatory infiltration is reported of the inframandibular part of the face of 25-year-old male stock farmer due to a zoophilic strain of Trichophyton verrucosum. The fungus was probably acquired from the bull of the patient. The patient developed a severe phlegmoneous inflammation of the bearded part of the face. During hospitalization id reactions like erythema nodosum, tarsal arthritis, and abdominal pain was observed. Ketoconazole in dose of 100 mg was introduced, subsequently fluconazole intravenously, leading to no significant clinical improvement. Afterwards the treatment with fluconazole was discontinued and terbinafine 250 mg once daily was employed. Furthermore was administred systemic antibiotics and external drugs. [ABSTRACT FROM AUTHOR]