Trichophyton interdigital

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Kaufmann-Wolff mushroom; Merchant Wolf Mushroom; Trichophyton mentagrophytes var. interdigital

History
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Blanchard, 1896; Priestley, 1917

Definition
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Primary downy variant of Trichophyton mentagrophytes. Anthropophilic dermatophyte.

Occurrence/Epidemiology
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Distributed worldwide, with a focus on North America and Europe.

Clinical picture
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S.u. Tinea pedum, tinea unguium, tinea inguinalis. Mostly creeping infestation of the interdigital spaces of the feet or the genitocrural region. In chronic cases, it often spreads to the toenails or hairless skin. Fingernails, head hair or beard hair are rarely affected. In women, occasionally picture of the tinea granulomatosa follicularis et nodularis cruris.

Microscopy
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  • Strongly branched hyphae.
  • Spiral Hyphae: Numerous, typical, especially in older cultures. In the absence of these, the culture can only be identified macroscopically by its growth form.
  • Microconidia: Round (2-5 μm Ø) or pear-shaped (length: 3-4 μm; width: 2-3 μm), acladium or botrytis, usually standing laterally on 1st and 2nd degree mycelium branches.
  • Macroconidia: May be absent, if present mostly cylindrical or swaged, thin- and smooth-walled, 3-8 chambers, length: 10-50 μm; width: 5-10 μm.

Diagnosis
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For the reliable differentiation of Trichophyton rubrum and Trichophyton interdigitale, special culture media (e.g. potato glucose agar or urea agar) may additionally be required for the detection of urea cleavage of Trichophyton interdigitale.

Literature
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  1. Perea S et al (2000) Prevalence and risk factors of tinea unguium and tinea pedis in the general population in Spain. J Clin Microbiol 38: 3226-3230
  2. Seebacher C et al (2007) Onychomycosis. J Dtsch Dermatol Ges 5: 61-66
  3. Trotha R et al (2003) Tinea barbae caused by a zoophilic strain of Trichophyton interdigitale. Mycoses 46: 60-63
  4. Weller R, Delivers C (1996) Transmission of Trichophyton interdigitale via an intermediate plant host. Br J Dermatol 135: 656-657

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020