Andrzej Kazimierz Jaworek , Przemysław Hałubiec , Paweł Marcin Krzyściak , Anna Wojas-Pelc , Jadwiga Wójkowska-Mach , Jacek Cezary Szepietowski
{"title":"Kerion-like lesions following an autoinoculation event in patient with chronic onychomycosis – Case report","authors":"Andrzej Kazimierz Jaworek , Przemysław Hałubiec , Paweł Marcin Krzyściak , Anna Wojas-Pelc , Jadwiga Wójkowska-Mach , Jacek Cezary Szepietowski","doi":"10.1016/j.mmcr.2024.100685","DOIUrl":null,"url":null,"abstract":"<div><div>We report a case of a 75-year-old male with suspected onychomycosis of the right hand and both feet who also developed kerion-like changes in the skin of his head and neck after recent inguinal hernia surgery. A mycological examination revealed the presence of <em>Trichophyton rubrum</em> in all affected sites. Treatment with oral terbinafine and topical isoconazole nitrate was started, resulting in a significant improvement in skin lesions. The case we present underscores the possibility of autoinoculation transmission of dermatophytes and the need for a careful evaluation of the coexistence of mycoses at different anatomical sites.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"46 ","pages":"Article 100685"},"PeriodicalIF":1.6000,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Mycology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211753924000599","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
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Abstract
We report a case of a 75-year-old male with suspected onychomycosis of the right hand and both feet who also developed kerion-like changes in the skin of his head and neck after recent inguinal hernia surgery. A mycological examination revealed the presence of Trichophyton rubrum in all affected sites. Treatment with oral terbinafine and topical isoconazole nitrate was started, resulting in a significant improvement in skin lesions. The case we present underscores the possibility of autoinoculation transmission of dermatophytes and the need for a careful evaluation of the coexistence of mycoses at different anatomical sites.
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