Majocchi Granuloma Superinfected With Herpes Zoster

Lei, Donald; Karatas, Elif; Antohi, Daniel; Wu, Benedict

doi:10.7759/cureus.62075

Cureus

2024

DOI: 10.7759/cureus.62075

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Majocchi Granuloma Superinfected With Herpes Zoster

Donald Lei,

Elif Karatas,

Daniel Antohi

et al.

Abstract: Herpes zoster (HZ) infection is caused by the reactivation of the varicella-zoster virus (VZV) and has very rarely been reported at the site of a superficial fungal infection. Also, HZ occurring at the site of a deep fungal infection has not been reported in the literature. We discuss a unique case of a 45-year-old male patient presenting with a Majocchi granuloma (MG) superinfected with disseminated HZ.

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Deep Dermal Dilemma: A Case Report on Majocchi’s Granuloma After Topical Steroid Use

Veerakumar,

Murthy,

Cinna T Durai

et al. 2024

Cureus

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Majocchi’s granuloma represents a unique dermatological entity characterized by the invasion of dermatophytes into the dermis and subcutaneous tissue, typically following trauma or topical corticosteroids, most commonly caused by Trichophyton rubrum . The unrestrained use of over-the-counter topical steroids has led to the rise of Majocchi’s granuloma in the past few years. A 57-year-old male presented with complaints of itchy skin lesions over his right ankle for 20 days. There was a history of over-the-counter topical steroid application, following which the lesions exacerbated. Clinical examination showed multiple ill-defined erythematous nodules, 2-3 cm in size, with serosanguinous discharge associated with right ankle swelling. A single annular hyperpigmented scaly patch was also noted over the right leg below the knee. Potassium hydroxide (KOH) examination was positive for fungal hyphae. Histopathological examination (HPE) of the nodule showed features suggestive of Majocchi's granuloma. Fungal culture was performed, which showed growth of Trichophyton rubrum . The patient was started on oral terbinafine 250 mg once daily and topical luliconazole cream twice daily topical application, which resolved the lesions in three weeks, but the patient was advised to continue the treatment for a total duration of two months.

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Deep Dermal Dilemma: A Case Report on Majocchi’s Granuloma After Topical Steroid Use

Veerakumar,

Murthy,

Cinna T Durai

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

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Majocchi Granuloma Superinfected With Herpes Zoster

Cited by 1 publication

References 10 publications

Deep Dermal Dilemma: A Case Report on Majocchi’s Granuloma After Topical Steroid Use

Deep Dermal Dilemma: A Case Report on Majocchi’s Granuloma After Topical Steroid Use

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