An Unusual Clinical Presentation of Tinea Faciei Caused by Trichophyton mentagrophytes var. erinacei

Abstract

Trichophyton mentagrophytes var. erinacei, the natural host of which is the hedgehog, has been found to cause highly inflammatory and pruritic eruptions, including tinea manuum, tinea corporis, nail infection, kerion, scalp infection, and tinea barbae. To our knowledge, however, no reports have been made of tinea faciei caused by Trichophyton mentagrophytes var. erinacei in the English language literature. We provide here the case of tinea faciei caused by Trichophyton mentagrophytes var. erinacei.

Pustular tinea manuum from Trichophyton erinacei infection

“…Infection typically occurs at the sites of contact—most commonly the hands as in tinea manuum, 1 , 4 , 6 , 7 and less frequently as tinea facei 2 , 8 and tinea kerion barbae. 3 They may present as an erosive inflammatory vesiculopustular eruption 1 , 5 or scaling eczematous plaques mimicking eczema.…”

“…It often causes a localized itchy rash at the size of contact, such as the extremities, and is typically reported in the context of hedgehog exposure. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 …”

Hedgehog Dermatophytosis: Understanding Trichophyton erinacei Infection in Pet Hedgehogs and Its Implications for Human Health

“…There have already been reports of allylamine resistance in Asian and European nations [60][61][62]. Additionally, the frequency of clinical isolates that were resistant to terbinafine varied from less than 1% in Switzerland [32] to more than 70% in India [63]. According to the literature, India is one of the Asian countries with the highest prevalence of resistant dermatophytes.…”

Lesión cutánea facial en una niña de 11 años

“…Estas infecciones suelen presentarse como erupciones muy inflamatorias y pruriginosas, aunque también se han descrito formas no inflamatorias. La transmisión al hombre puede ser por contacto directo con erizos, pero también se han informado casos de transmisión a través del suelo, de otros animales domésticos como gatos y perros e incluso el contagio entre humanos 4,5 .…”