Atypical Presentation of Trichophyton tonsurans Mimicking Non-Healing Ulcer: A Case Report
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2017, Vol 6, Issue 2
Abstract
Dermatophytosis is superfcial cutaneous fungal infection of skin, hair, and nails. Trichophyton tonsurans is an anthropophilic cosmopolitan dermatophyte most frequently associated with Tinea capitis. A 58-year-old female presented with non-healing ulcers of 6-month duration on lef leg, mimicking squamous cell carcinoma and atypical mycobacterial infection. Skin biopsy was taken and preparation of 10% KOH revealed plenty of thin hyaline septate hyphae. Fungal culture on SDA with and without antibiotics showed whitish suede like fungal growth with central furrows. Te fungus was identifed as Trichophyton tonsurans. Antifungal treatment was started and patient improved drastically afer 3-4 weeks of treatment. We conclude that for all cases of non-healing ulcers, a suspicion of fungal infection must be kept and skin biopsy should be sent for fungal culture.
Authors and Affiliations
Kaur Isampreet| Senior Resident, Department of Microbiology, Dr. Rajender Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India, Corresponding e-mail: isampreet@gmail.com, Sood Anuradha| Department of Microbiology, Dr. Rajender Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India, Thakur Kamlesh| Department of Microbiology, Dr. Rajender Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India, Chauhan Smriti| Department of Microbiology, Dr. Rajender Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India, Chauhan Pushpinder| Department of Dermatology, Dr. Rajender Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
Keywords
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