Subcutaneous abscesses caused by Trichophyton rubrum in the unilateral groin of an immunocompromised patient: A case report

Abstract

A 60-year-old Japanese man presented with multiple subcutaneous nodules in his left groin. Histologically, the nodules consisted of suppurative granulomas and abscesses not involving the hair follicles. Trichophyton rubrum TWCC57922 was detected by fungal culture and polymerase chain reaction (PCR) sequencing of the rDNA genes. We diagnosed these nodules as deeper dermal dermatophytosis, a rare form of invasive dermatophytosis. He was treated with terbinafine. We compared these findings with previous reports of deep dermal dermatophytosis.

Multiple abscesses in the lower extremities caused by Trichophyton rubrum

“…Utako Okata-Karigane et al [ 5 ] first reported a deep dermal dermatophytosis that mimicked lymphadenitis. The standard treatment for deep dermal dermatophytosis has not been established, but systemic antifungal therapy is generally selected, and oral terbinafine or itraconazole are effective.…”

Kaposi Sarcoma-Like Lesions Caused by Candida guilliermondii Infection in a Kidney Transplant Patient

“…Superficial dermatomycosis is fairly prevalent in transplant recipients and its rate increases as patients receive massive immunosuppressive treatment. However, deep dermatomycosis involving the dermis and subcutaneous layer by dermatophytes and yeast, is relatively rare 5 . Deep dermatophytosis often presents with multiple nodules on lower extremities, accompanied by superficial fungal infection 5 .…”

“…However, deep dermatomycosis involving the dermis and subcutaneous layer by dermatophytes and yeast, is relatively rare 5 . Deep dermatophytosis often presents with multiple nodules on lower extremities, accompanied by superficial fungal infection 5 . There is no report of a similar case involving yeast, let alone species as uncommon as C. guilliermondii .…”