Details

Autor(en) / Beteiligte

• Pavlović, Miloš D
• Marzouk, Shireen
• Bećiri, Leis

Titel

Widespread dermatophytosis in a healthy adolescent: the first report of multidrug-resistant Trichophyton indotineae infection in the UAE

Ist Teil von

• Acta dermatovenerologica Alpina, Panonica, et Adriatica, 2024-01, Vol.33 (1), p.53-55

Ort / Verlag

Slovenia: Association of Slovenian Dermatovenerologists

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• A multidrug-resistant dermatophyte species recently arose in India, first described as terbinafine-resistant Trichophyton interdigitale and soon given a separate name: T. indotineae. Thanks to its treatment recalcitrance, person-to-person spread, and frequent travel, before long it was identified in many countries on all continents. We describe here the case of a boy with widespread, extremely pruritic, inflammatory dermatophytosis affecting his face, neck, trunk, and extremities, unsuccessfully treated for months with oral terbinafine and fluconazole and a range of topical antimycotics. Qualitative polymerase chain reaction of skin scrapings from his lesions identified a T. interdigitale complex fungus, highly probably T. indotineae due to conspecificity and antifungal resistance. Oral itraconazole, administered over 8 weeks, cleared the infection. Because the patient had not traveled outside the United Arab Emirates for months before the infection became obvious, it must have been acquired from a local source.