Abstract
Superficial fungal infections are expected to be more prevalent in renal transplant recipients because of graft-preserving immunosuppressive therapy. Here we report the case of a 45-year-old patient with widespread erosive tinea corporis transmitted by domestic animals. Sequencing of the internal transcribed spacer region identified Arthroderma benhamiae (teleomorph of Trichophyton mentagrophytes) in the patient, her husband and her domestic animals. A combination therapy with systemic terbinafine hydrochloride and topically applied ciclopiroxolamine was successful.
© 2009 Blackwell Verlag GmbH.
MeSH terms
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Animals
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Antifungal Agents / therapeutic use
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Arthrodermataceae / isolation & purification*
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Ciclopirox
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DNA, Fungal / chemistry
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DNA, Fungal / genetics
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DNA, Ribosomal Spacer / chemistry
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DNA, Ribosomal Spacer / genetics
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Female
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Guinea Pigs / microbiology
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Histocytochemistry
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Humans
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Immunocompromised Host
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Immunosuppressive Agents / administration & dosage
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Immunosuppressive Agents / adverse effects
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Kidney Transplantation*
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Microscopy
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Middle Aged
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Naphthalenes / therapeutic use
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Pyridones / therapeutic use
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Sequence Analysis, DNA
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Skin / microbiology
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Skin / pathology
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Terbinafine
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Tinea / diagnosis*
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Tinea / drug therapy
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Tinea / microbiology
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Tinea / transmission
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Transplantation*
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Treatment Outcome
Substances
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Antifungal Agents
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DNA, Fungal
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DNA, Ribosomal Spacer
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Immunosuppressive Agents
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Naphthalenes
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Pyridones
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Ciclopirox
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Terbinafine