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A Case of Tinea Corporis caused by Microsporum Incurvatum – a Geophillic Species related to M. gypseum


Authors: P. Lysková 1;  V. Hubka 2,3;  J. Bodnárová 4
Authors‘ workplace: Laboratoř lékařské mykologie, oddělení parazitologie, mykologie a mykobakteriologie Praha Zdravotní ústav se sídlem v Ústí nad Labem, Praha, vedoucí RNDr. Zuzana Hůzová 1;  Katedra botaniky, Přírodovědecká fakulta, Univerzita Karlova v Praze vedoucí doc. RNDr. Yvonne Němcová, Ph. D. 2;  Laboratoř genetiky a metabolismu hub, Mikrobiologický ústav, Akademie věd České republiky, v. v. i., Praha vedoucí Mgr. Miroslav Kolařík, Ph. D. 3;  Dermatovenerologická ambulance, Příbram 4
Published in: Čes-slov Derm, 89, 2014, No. 4, p. 187-191
Category: Case Reports

Overview

We present a case of mycotic infection of tinea corporis type in a forty-year old woman. The lesion was localised on the dorsal aspect of the left hand and did not react to ciclopirox olamine. The systemic therapy by terbinafine was stopped because of its side effects. The lesion was treated successfully with local antimycotics naftifine and natamycin. The geophillic dermatophyte Microsporum incurvatum was isolated and verified by the sequencing of ITS rDNA. This dermatophyte is rarely isolated from clinical material and probably no case was described in the Czech Republic. It is possible that some infections caused by M. incurvatum are attributed to M. gypseum and M. fulvum due to morphologic similarity of these species. The controversial taxonomy of this species and possibility of its differentiation from other species is discussed as well.

Key words:
Arthroderma – ciclopirox olamine– dermatophytoses – naftifine – natamycin – terbinafine


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