Abstract
Each year, millions of people worldwide are affected by superficial mycoses, which are frequently caused by dermatophytes having affinity to the scalp, nails, hair and the stratum corneum of the skin. The changing reservoirs of zoophilic dermatophytes, the numerous reports of animal carrier status, and the increasing number of pets make the diagnosis difficult, which is usually impossible based only on medical history. Herein we present a case report of tinea corporis caused by Trichophyton equinum in siblings who had no contact with horses. The routine laboratory diagnostic procedures for identification of isolates were based on phenotypic and genotypic characteristics, especially molecular techniques using rDNA internal transcribed spacer sequences. The results showed that both techniques proved to be insufficiently discriminatory to differentiate two closely related species, i.e. Trichophyton equinum and Trichophyton tonsurans. Introduction of a TEF1 sequence analysis to the diagnostic procedures revealed consistent differences between these two species and facilitated unambiguous identification. Interestingly, dogs that could leave the homestead freely were the source of the infection in children. In conclusion, Trichophyton equinum was considered in the past as a strict zoophilic dermatophyte associated with horses and rarely transmitted to humans. This study revealed that this species can have other reservoirs and live in the fur of asymptomatic animals.
References
Gnat S, Nowakiewicz A, Zięba P (2019) Taxonomy of dermatophytes - the classification systems may change but the identification problems remain the same. Adv Microbiol 58:49–58
Dworecka-Kaszak B, Dąbrowska I (2017) Dermatophytes: new taxonomy and differentiation methods. Review of current state of knowledge about mechanisms of pathogenesis and pathogen-host interaction. Med Weter 73:613–617
Gnat S, Nowakiewicz A, Łagowski D, Zięba P (2019) Host- and pathogen-dependent susceptibility and predisposition to dermatophytosis. J Med Microbiol 68:823–836
Łagowski D, Gnat S, Nowakiewicz A, Osińska M, Zięba P (2019) The prevalence of symptomatic dermatophytoses in dogs and cats and the pathomechanism of dermatophyte infections. Adv Microbiol 58:165–176
Vaezi A, Fakhim H, Abtahian Z et al (2018) Frequency and geographic distribution of CARD9 mutations in patients with severe fungal infections. Front Microbiol 9:2434
Georg LK, Kaplan W, Camp LB (1957) Trichophyton equinum—a re-evaluation of its taxonomic status1. J Invest Dermatol 29:27–37
P. English M (2006) The epidemiology of animal ringworm in man. Br J Dermatol 86:78–87
Takatori K, Ichijo S (1985) Human dermatophytosis caused by Trichophyton equinum. Mycopathologia 90:15–19
Huovinen S, Tunnela E, Huovinen P, Kuijpers AF, Suhonen R (1998) Human onychomycosis caused by Trichophyton equinum transmitted from a racehorse. Br J Dermatol 138:1082–1084
Veraldi S, Genovese G, Peano A (2018) Tinea corporis caused by Trichophyton equinum in a rider and review of the literature. Infection 46:135–137
Shwayder T, Andreae M, Babel D (1994) Trichophyton equinum from riding bareback: first reported U.S. case. J Am Acad Dermatol 30:785–787
Gnat S, Nowakiewicz A, Łagowski D, Trościańczyk A, Zięba P (2019) Multiple-strain Trichophyton mentagrophytes infection in a silver fox ( Vulpes vulpes ) from a breeding farm. Med Mycol 57:171–180
Hoog GS de, Guarro J, Gené J, Figueras MJ (2000) Atlas of clinical fungi. 2nd ed. Utrecht, Netherlands: Centraalbureau voor Schimmelcultures (CBS); 2000
Gnat S, Nowakiewicz A, Ziółkowska G, Trościańczyk A, Majer-Dziedzic B, Zięba P (2017) Evaluation of growth conditions and DNA extraction techniques used in the molecular analysis of dermatophytes. J Appl Microbiol 122:1368–1379
Rezaei-Matehkolaei A, Makimura K, Hoog S et al (2012) Discrimination of Trichophyton tonsurans and Trichophyton equinum by PCR-RFLP and by β-tubulin and translation elongation factor 1-α sequencing. Med Mycol
CLSI (2017) Reference method for broth dilution antifungal susceptibility testing of filamentous fungi. 3rd ed. CLSI standard M38 Wayne, PA: Clinical and Laboratory Standards Institute; 2017
Brasch J, Logering B, Graser Y (2009) Tinea capitis caused by Trichophyton equinum. Acta Derm Venereol 89:204–205
Graser Y, Kuijpers AF, Presber W, De Hoog GS (1999) Molecular taxonomy of Trichophyton mentagrophytes and T. tonsurans. Med Mycol 37:315–330
Woodgyer A (2004) The curious adventures of Trichophyton equinum in the realm of molecular biology: a modern fairy tale. Med Mycol 42:397–403
Ilkit M, Ali Saracli M, Kurdak H et al (2010) Clonal outbreak of Trichophyton tonsurans tinea capitis gladiatorum among wrestlers in Adana, Turkey. Med Mycol 48:480–485
Ohst T, Kupsch C, Graser Y (2016) Detection of common dermatophytes in clinical specimens using a simple quantitative real-time TaqMan polymerase chain reaction assay. Br J Dermatol 174:602–609
Czaika VA, Lam PA (2013) Trichophyton mentagrophytes cause underestimated contagious zoophilic fungal infection. Mycoses 56:33–37
Gnat S, Łagowski D, Nowakiewicz A, Zięba P, Zieba P (2018) Tinea corporis by Microsporum canis in mycological laboratory staff: unexpected results of epidemiological investigation. Mycoses 61:945–953
Kozak M, Bilek J, Beladicova V, Beladicova K, Baranova Z, Bugarsky A (2003) Study of the dermatophytes in dogs and the risk of human infection. Bratisl Lek Listy 104:211–217
Nicholls DSH, Miugel G (1989) Onychomycosis caused by Trichophyton equinum. Clin Exp Dermatol 14:464–465
Amor E, Gutierrez MJ, Lamoneda C, del Palacio A, Pereiro M (2001) Terbinafine treatment of Trichophyton equinum infection in a child. Clin Exp Dermatol 26:276–278
Burden AD, Tillman DM, Richardson MD (1994) Human Trichophyton equinum infection treated with terbinafine. Clin Exp Dermatol 19:359–360
Destoumieux-Garzón D, Mavingui P, Boetsch G et al (2018) The one health concept: 10 years old and a long road ahead. Front Vet Sci 5:14
Łagowski D, Gnat S, Nowakiewicz A, Osińska M, Trościańczyk A, Zięba P (2019) In search of the source of dermatophytosis: epidemiological analysis of Trichophyton verrucosum infection in llamas and the breeder (case report). Zoonoses Public Health 66:982-989
Binek M, Chrobak-Chmiel D (2018) Wkład mikrobiologii weterynaryjnej w budowę idei wspólnego zdrowia Adv Microbiol 57:95–105
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This study was carried out in accordance with The Code of Ethics of the World Medical Association (Declaration of Helsinki) for experiments involving humans http://www.healthscience.net/resources/declarationof-helsinki. Informed consent was obtained from all individual participants and their legal guardians included in the study. All applicable international, national and/or institutional guidelines for the care and use of animals were followed. These procedures comply with the basic and ethical principles for research involving the use of animals. All procedures on animals were performed by a team of trained veterinarians.
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Gnat, S., Łagowski, D., Nowakiewicz, A. et al. Tinea corporis caused by Trichophyton equinum transmitted from asymptomatic dogs to two siblings. Braz J Microbiol 51, 1433–1438 (2020). https://doi.org/10.1007/s42770-019-00204-0
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DOI: https://doi.org/10.1007/s42770-019-00204-0