Painful Papulopustules and Nodules in the Beard
Authors:
A. Engelmann; A. J. Pavlíček; M. Sedlák; J. Štork; I. Kuklová
Authors‘ workplace:
Dermatovenerologická klinika 1. LF UK a VFN, přednosta doc. MUDr. Ondřej Kodet, Ph. D.
Published in:
Čes-slov Derm, 100, 2025, No. 1, p. 48-51
Category:
Overview
The authors describe the case of a 35-year-old HIV-negative man with a highly inflammatory (kerion-like) form of sexually transmitted tinea barbae. His sexual partner had a less inflammatory form of tinea corporis localized predominantly perianally, pubogenitally and in the groin. Both men were found to have T. mentagrophytes genotype VII by culture and molecular genetic testing. This is a recently described genotype with a possible adaptation or mutation facilitating human-to-human transmission, including sexual contact. Tinea barbae was clinically and mycologically cured after 7 weeks of oral therapy with itraconazole.
Keywords:
Tinea barbae – Tinea genitalis – sexual transmission – Trichophyton mentagrophytes genotype VII
Sources
- BONIFAZ, A., RAMÍREZ-TAMAYO, T., SAÚL, A. Tinea barbae (tinea sycosis): experience with nine cases. J Dermatol., 2003, 30(12), p. 898–903.
- BORAL, H., DURDU, M., ILKIT, M. Majocchi‘s granuloma: current perspectives. Infect Drug Resist., 2018, 11, p. 751–760.
- BORTOLUZZI, P., AROMOLO, I. F., DERLINO, F., MARZANO, A. V., PEREGO, G. Tinea barbae caused by T. mentagrophytes genotype VII, an emerging sexually transmitted infection among Men who have Sex with Men: A report from Milan, Italy. J Eur Acad Dermatol Venereol., 2024, Published online. doi:10.1111/jdv.20395.
- DE HOOG, G. S., DUKIK, K., MONOD, M. et al. Toward a novel multilocus phylogenetic taxonomy for the dermatophytes. Mycopathologia., 2017, 182(1–2), p. 5–31.
- DELLIÈRE, S., JABET, A., ABDOLRASOULI, A. Current and emerging issues in dermatophyte infections. PLoS Pathog., 2024, 20(6), p. e1012258.
- FRÍAS-DE-LEÓN, M. G., MARTÍNEZ-HERRERA, E., ATOCHE-DIÉGUEZ, C. E., CESPÓN, J. L. G., URIBE, B., ARENAS, R., RODRÍGUEZ-CERDEIRA, C. Molecular identification of isolates of the Trichophyton mentagrophytes complex. Int J Med Sci., 2020, 17(1), p. 45–52.
- JABET, A., BÉROT, V., CHIARABINI, T., DELLIÈRE, S., BOSSHARD, P. P., SIGUIER, M., TUBIANA, R., FAVIER, M., CANESTRI, A., MAKHLOUFI, S., NOUCHI, A., DE RISI-PUGLIESE, T., BOQUEL, F., CRÉMER, G., KHOURY, R., SIDALI, O., HAMANE, S., BENDERDOUCHE, M., PALOUS, M., CHASSET, F., GRÄSER, Y., HUBKA, V., FEKKAR, A., HENNEQUIN, C., PIARROUX, R., NORMAND, A. C., MONSEL, G. Trichophyton mentagrophytes ITS genotype VII infections among men who have sex with men in France: An ongoing phenomenon. J Eur Acad Dermatol Venereol., 2024, Published online. doi:10.1111/jdv.20439.
- LUCHSINGER, I., BOSSHARD, P. P., KASPER, R. S., REINHARDT, D., LAUTENSCHLAGER, S. Tinea genitalis: a new entity of sexually transmitted infection? Case series and review of the literature. Sex Transm Infect., 2015, 91(7), p. 493–496.
- MØLENBERG, D., DELEURAN, M., SOMMERLUND, M. Connubial tinea gladiatorum due to Trichophyton mentagrophytes. Mycoses., 2010, 53(6), p. 533–534.
- NENOFF, P., SCHUBERT, K., JARSUMBECK, R., UHRLAS, S., KRÜGER, C. Tinea genitalis profunda durch Trichophyton mentagrophytes nach Ägypten-Reise. Akt Dermatol., 2017, 43(04), p. 146–153.
- NENOFF, P., VERMA, S. B., VASANI, R. et al. The current Indian epidemic of superficial dermatophytosis due to Trichophyton mentagrophytes – A molecular study. Mycoses, 2019, 30(12), p. 898–903.
- SINGH, S., SONDHI, P., YADAV, S., ALI, F. Tinea barbae presenting as kerion. Indian J Dermatol Venereol Leprol., 2017, 83(6), p. 741.
Poděkování
Autoři děkují MUDr. Mgr. Vítu Hubkovi, Ph.D., z Katedry botaniky PřF UK a z Mikrobiologického ústavu Akademie věd ČR za genotypizaci kmenů Trichophyton mentagrophytes.
Do redakce došlo dne 20. 1. 2025.
Adresa pro korespondenci:
MUDr. Anna Engelmann
Dermatovenerologická klinika 1. LF UK a VFN
U Nemocnice 499/2 128 00 Praha 2
e-mail: Anna.Engelmann@vfn.cz
Labels
Dermatology & STDs Paediatric dermatology & STDsArticle was published in
Czech-Slovak Dermatology
2025 Issue 1
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