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Trichophyton Rubrum Infection (trichophyton + rubrum_infection)
Selected AbstractsDisseminated dermal Trichophyton rubrum infection , an expression of dermatophyte dimorphism?JOURNAL OF CUTANEOUS PATHOLOGY, Issue 11 2010Joseph V. Lillis We present a case of disseminated dermal infection caused by Trichophyton rubrum (T. rubrum). This rare variant of dermatophytosis has an atypical clinical and histopathological presentation and occurs exclusively in immunosuppressed patients. The large, broad, pleomorphic hyphae with scattered budding arthrospores in this variant of T. rubrum infection are unusual and may represent expression of dermatophyte dimorphism previously described in vitro. Lillis JV, Dawson ES, Chang R, White Jr CR. Disseminated dermal Trichophyton rubrum infection,an expression of dermatophyte dimorphism? [source] Patients at risk of onychomycosis , risk factor identification and active preventionJOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 2005A Tosti ABSTRACT Objectives, The aims of this workshop were to identify risk factors for onychomycosis and to reach consensus on the management of high-risk groups to allow the development of guidelines to help doctors recognize risk factors that complicate treatment. Results and Conclusions, Previous Trichophyton rubrum infection, older age, abnormal nail morphology, immunodeficiency and genetic factors were identified as risk factors for initial infections. Risk factors for recurrence (relapse and re-infection) are largely the same. The experts agreed that the prevention of onychomycosis and its recurrence should be based on the correct treatment of tinea pedis, screening family members and adequate patient education. In addition, generic management recommendations for each high-risk group were discussed: ,,Immunosuppressed patients ,,Usual dose and treatment length not appropriate ,,Follow-up required ,,Beware of drug interactions ,,Diabetics ,,Prophylactic foot care combined with nail treatment ,,Good opportunity for patient education, footwear, foot care, etc. ,,Beware of drug interactions ,,Psoriatics and patients with abnormal nails ,,Dermatophyte eradication does not restore normal nails ,,Children ,,High failure rate possibly due to compliance problems. [source] Widespread, chronic, and fluconazole-resistant Trichophyton rubrum infection in an immunocompetent patientMYCOSES, Issue 6 2008Didem Didar Balci Summary Chronic, widespread and invasive cutaneous dermatophytoses due to Trichopyhton rubrum are common in immunocompromised patients. In immunocompetent individuals, however, chronic widespread dermatophytoses are more often associated with onychomycosis and tinea pedis. We describe a 54-year-old immunocompetent female who presented with a 2-year history of extensive erythematous and hyper-pigmented scaly plaques involving the abdominal, gluteal and crural regions without concomitant tinea pedis, tinea manus or onychomycosis. The diagnosis was made by mycological examination including culture. The pathogen identified was T. rubrum. The patient had a history of resistance to systemic fluconazole and topical ketoconazole. After an 8-week therapy period with systemic itraconazole and sertaconazole nitrate cream, a near-complete clearing of all lesions was observed. Trichophyton rubrum may thus present atypical aspects in immmunocompetent patients. [source] |