Scutular tinea of the scrotum: report of two cases

Prochnau, Auro; Almeida, Hiram Larangeira de; Souza, Paulo Ricardo Martins; Vetoratto, Gerson; Duquia, Rodrigo Pereira; Defferrari, Rafael

doi:10.1111/j.1439-0507.2005.01097.x

Cited by 23 publications

(19 citation statements)

References 13 publications

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“…Finally, M. gypseum was isolated from culture of progressed lesions. To our knowledge, this geophilic dermatophyte has been reported in only a few cases of HIV patients so far, and always in resource-poor settings [5, 6, 7, 8]. Our case, therefore, is the first case of diffuse tinea incognito due to M. gypseum reported in Western countries in a patient with prolonged professional exposure to soil and dust and severe immune suppression [9].…”

Section: Discussionmentioning

confidence: 78%

Tinea incognito Caused by Microsporum gypseum in a Patient with Advanced HIV Infection: A Case Report

Polilli¹,

Fazii²,

Ursini

et al. 2011

Case Rep Dermatol

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The prevalence and the clinical relevance of dermatophytoses in HIV-infected patients are poorly documented, particularly for those caused by tinea incognito. Here, we report a case of widespread facialtinea incognito occurring in an Italian patient with advanced HIV infection, showing both skin and brain lesions. Second-line treatment with liposomal amphotericin B and cotrimoxazole, administered after a microbiological characterization of the skin scrapings, led to complete clearance of all lesions.

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Section: Discussionmentioning

confidence: 78%

Tinea incognito Caused by Microsporum gypseum in a Patient with Advanced HIV Infection: A Case Report

Polilli¹,

Fazii²,

Ursini

et al. 2011

Case Rep Dermatol

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“…For example, Lu et al reported six cases, five of which were caused by N. gypsea . Sporadic cases from Japan and Brazil also showed that N. gypsea was the prevalent agent …”

Section: Discussionmentioning

confidence: 98%

Prevalence of low inflammatory tinea genitalis in southern China

Yin

Xie

et al. 2018

Mycoses

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Summary Background Emergence of highly inflammatory genital dermatophyte infections has been reported from Southeast Asia. In view of this, knowledge of the non‐outbreak fungal flora of the genitals is required as a baseline study. Objectives We present our 12‐year experience in a tertiary clinic with the diagnosis of scrotal fungal infections. Methods A retrospective review was performed of patients with a diagnosis of scrotal fungal infections proven by direct microscopy and culture. Clinical, mycological and treatment data were collected. Results In total, 35 male patients were identified, of which 27 concerned dermatophyte infections and eight were yeasts. Nannizzia gypsea was the most common agent (48.6%), presenting as thick pseudomembraneous lesions limited to the scrotum. Trichophyton rubrum (22.9%) and Epidermophyton floccosum (5.7%) mainly presented erythematous, dry and scaly lesions and involving more sites besides the scrotum. Candida albicans (n = 3), C. glabrata (n = 2), C. guilliermondii (n = 1) and Trichosporon asteroides (n = 1), presented various lesions. Sports, sweating and concurrent tineas are hypothesised as predisposing factors. Conclusions The prevalent causative agent of scrotum infections is N. gypsea, but wide species diversity is observed. All infections show mild skin inflammation. It is suggested that this genital fungal flora represents the current situation prior to clonal dermatophyte outbreaks.

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“…Favus of the scalp is typically a childhood disease, yet adult favus‐like scrotal tinea are uncommon. However, tinea of scrotum because of N. gypsea presenting as favus‐like lesions in immunocompromised or immunocompetent patients are reported more and more in China and Brazil . This is the first report of dramatic morphology in vivo of scrotum N. gypsea infection demonstrated by SEM and TEM.…”

mentioning

confidence: 77%

“…Although dermatophytes may colonize the scrotum, they typically do not infect scrotal skin. However, tinea of scrotum is reported rarely as a specific type of Microsporum gypseum infection, presenting as white‐paint‐dot appearance scutular‐like or pseudomembranous‐like lesions in immunocompromised or immunocompetent patients . According to the most recent taxonomy, M. gypseum is now called Nannizzia gypsea .…”

mentioning

confidence: 99%