Trichophyton-rubrum-Syndrom mit Tinea axillaris als Teilmanifestation

Abstract

Trichophyton rubrum infections occur worldwide. In the last few years Trichophyton rubrum has increasingly often been isolated from other parts of the body besides the soles of the feet, toenails and the groin. Our patient's infection spread from the feet, to the inguinal region, to the thighs, to the hips, to the abdominal wall, to the left forearm and even the axillae. Such skin lesions have recently been called chronic dermatophytosis syndrome. We describe this new entity for the first time in the German literature and discuss it in relation to commonly found Trichophyton rubrum infections.

Tinea faciei incognito due to Trichophyton rubrum as a result of autoinoculation from onychomycosis

“…Recently, the so called T. rubrum syndrome has been described. It is defined as a tinea caused by T. rubrum which affects at least four different body sites, including feet, hands, nails and another body site, except for the groin 3–5 . In contrast, head and face region are relatively seldom affected by the anthropophilic dermatophyte T. rubrum 6,7 …”

Advances in Microbiology, Infectious Diseases and Public Health: Refractory Trichophyton rubrum Infections in Turin, Italy: A Problem Still Present

“…The five clinical cases reported in this study are considered dermatophytosis, affecting both immunocompetent and immunodeficient patients, and fulfilled the diagnostic criteria of T.rubrum chronic dermatophytosis, as indicated by the literature (Zaias and Rebell 1996;Böhmer and Korting 1999;Kick and Korting 2001;Balci and Cetin 2008;Piñeiro et al 2010;Kong et al 2015). Since in our group of patients from the beginning a correct therapeutic treatment was not carried out or misapplicated, a gradual spread of the infection occurred to the toenails, as secondary site involved, constituting the reservoir of infection that spread later to other sites, such as legs, groin, hands, face and scalp.…”