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[Tinea barbae profunda due to Trichophyton mentagrophytes after journey to Thailand : Case report and review].
- Source :
-
Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete [Hautarzt] 2017 Aug; Vol. 68 (8), pp. 639-648. - Publication Year :
- 2017
-
Abstract
- Tinea barbae represents a very rare dermatophytosis. We report on a tinea barbae profunda following a journey to Southeast Asia. After travel to Thailand, a businessman was affected by a foudroyant proceeding abscessing infection of the upper lip and beard area. The initial therapy with oral acyclovir and oral ciprofloxacin, which later was changed to ampicillin plus sulbactam, intravenously, was unsuccessful. In a biopsy sample, histologically, with Grocott-Gomori's methenamine silver stain, fungal mycelium was apparent in the tissue. Thereupon, terbinafine 250 mg was given for 4 weeks, topically, a 1% ciclopiroxolamine-containing cream. In fungal culture, T. mentagrophytes were found to grow. Meanwhile, the patient's German wife suffered from a tinea faciei. From skin scrapings from the cheek, T. mentagrophytes was also cultivated. This zoophilic dermatophyte was identical with other zoophilic strains of T. mentagrophytes currently found in Germany, which were also acquired in Thailand. The patient had contact with Thai female sex workers who must be considered as a source of infection of the dermatophytosis. There was no animal contact, neither in Thailand, nor in Germany. The infection chain of the dermatophytosis from Thailand probably reached from a female sex worker via the here described patient to his wife in Germany. This pathway of infection has been known for 1 or 2 years, but until now, in Germany, Switzerland, and Austria exclusively via pubogenital infections (tinea genitalis profunda) due to T. mentagrophytes after journeys to Southeast Asia. For treatment, oral antifungal agents should be used, first of all terbinafine, alternatively fluconazole or itraconazole.
- Subjects :
- Abscess drug therapy
Adult
Ciclopirox therapeutic use
Drug Therapy, Combination
Facial Dermatoses drug therapy
Female
Germany ethnology
Humans
Lip Diseases drug therapy
Male
Sex Workers
Sexually Transmitted Diseases diagnosis
Sexually Transmitted Diseases drug therapy
Terbinafine therapeutic use
Thailand
Tinea drug therapy
Tinea transmission
Treatment Outcome
Abscess diagnosis
Developing Countries
Facial Dermatoses diagnosis
Lip Diseases diagnosis
Tinea diagnosis
Travel-Related Illness
Subjects
Details
- Language :
- German
- ISSN :
- 1432-1173
- Volume :
- 68
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete
- Publication Type :
- Academic Journal
- Accession number :
- 28616693
- Full Text :
- https://doi.org/10.1007/s00105-017-4008-2