Document Detail


Tinea corporis with acute inflammation caused by Trichophyton tonsurans.
MedLine Citation:
PMID:  18837705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 13-year-old Japanese boy presented with acute skin inflammation on the extremities. He belonged to a judo club of a junior high school in which club tinea capitis and tinea corporis seemed to be prevalent. Vesicles and pustules appeared on his right forearm and right leg. They increased in numbers and formed annular lesions. Pruritic erythema appeared surrounding these lesions. Direct microscopic examination of the lesions detected hyphae, and culture for the fungi yielded yellowish colonies. The result of culture from pustules revealed Staphylococcus aureus. At first, a topical antifungal drug and systemic antibiotics seemed to cure annular lesions, but pustules arose again. A large surrounding erythema was cured by topical treatment with a steroid agent. A biopsy specimen from a pustule showed hyphae of fungi within a hair shaft and in the bulb. The restriction fragment length polymorphism in the internal transcribed spacer regions of the ribosomal gene (polymerase chain reaction restriction fragment length polymorphism) revealed a banding pattern compatible with Trichophyton tonsurans. Treatment with systemic itraconazole was begun and lesions disappeared immediately. Systemic antifungal therapy was needed in our case. Tinea corporis with inflammation necessitates systemic antifungal therapy.
Authors:
Sayoko Ohno; Hiroshi Tanabe; Masako Kawasaki; Yuji Horiguchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of dermatology     Volume:  35     ISSN:  0385-2407     ISO Abbreviation:  J. Dermatol.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-07     Completed Date:  2008-12-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7600545     Medline TA:  J Dermatol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  590-3     Citation Subset:  IM    
Affiliation:
Ohno Dermatological Clinic, Nara, Japan. o-sayoko@mue.biglobe.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Extremities
Humans
Male
Tinea / pathology*,  transmission

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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