Tinea Manus Caused by Trichophyton mentagrophytes var. erinacei Transferred from a Hedgehog.
- Author:
Jong Ho LIM
1
;
Hei Sung KIM
;
Hyung Ok KIM
;
Baik Kee CHO
;
Sang-il KIM
;
Jong Soo CHOI
;
Young Min PARK
Author Information
1. Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. yymmpark6301@hotmail.com
- Publication Type:Case Report
- Keywords:
Hedgehog;
Tinea manus;
Trichophyton mentagrophytes var. erinacei
- MeSH:
Bandages;
Biopsy;
Child;
Dermatomycoses;
DNA;
Fingers;
Fungi;
Hedgehogs;
Humans;
Hyphae;
Itraconazole;
Keratins;
Ketoconazole;
Manganese Compounds;
Oxides;
Potassium Permanganate;
Republic of Korea;
Sequence Analysis;
Skin;
Tinea;
Trichophyton
- From:Korean Journal of Dermatology
2009;47(4):504-507
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The hedgehog has recently become a fashionable pet in South Korea, especially among the younger persons. However, hedgehogs have been rarely reported to carry fungus that can cause human dermatomycosis. We report such a case. A 12-year-old boy was bitten by his hedgehog one week prior to presentation; he developed two clearly defined erythematous plaques with some pustules on the fingers. Periodic acid-Schiff stain of the biopsy specimen showed long, septated fungal hyphae in the keratin layer. KOH examination and fungus culture showed Trichophyton(T.) mentagrophytes. The subtype was identified as T. mentagrophytes var. erinacei by sequence analysis of the internal transcribed spacer regions of theribosomal DNA. The patient was treated with oral itraconazole (3.3 mg/kg, twice a day for 4 weeks) and topical ketoconazole cream with potassium permanganate wet dressings twice a day, resulting in complete resolution of the skin lesions.
