Majocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patient
Abstract Majocchi's granuloma is an uncommon fungal infection of the dermis and subcutaneous tissue. The most frequently identified cause of Majocchi’s granuloma is anthropophilic Trichophyton rubrum, and it is most commonly located on the anterior aspect of the lower limbs in women. Here, we r...
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doaj-acbb689a2470418f962ff1a79a9980372020-11-25T02:43:12ZengBMCAnnals of Clinical Microbiology and Antimicrobials1476-07112020-09-011911410.1186/s12941-020-00382-yMajocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patientYun-yan Zheng0Yue Li1Ming-yan Chen2Qian-yun Mei3Ru-zhi Zhang4Department of Dermatology, The Third Affiliated Hospital of Soochow UniversityDepartment of Dermatology, The Third Affiliated Hospital of Soochow UniversityDepartment of Dermatology, The Third Affiliated Hospital of Soochow UniversityDepartment of Dermatology, The Third Affiliated Hospital of Soochow UniversityDepartment of Dermatology, The Third Affiliated Hospital of Soochow UniversityAbstract Majocchi's granuloma is an uncommon fungal infection of the dermis and subcutaneous tissue. The most frequently identified cause of Majocchi’s granuloma is anthropophilic Trichophyton rubrum, and it is most commonly located on the anterior aspect of the lower limbs in women. Here, we report a case of Majocchi’s granuloma on the forearm, a site that is rarely involved, in a 62-year-old woman who had been bitten by a dog. Histological examination revealed a dense dermal infiltrate composed of lymphoplasmacytic cells and neutrophils, with hyphae in the dermis. The presence of the fungus, Trichophyton tonsurans, was confirmed by mycological examination and molecular methods. Therefore, histological and mycological examination confirmed the diagnosis of Majocchi’s granuloma. The patient was treated with local moxibustion and itraconazole, 200 mg/day, for 60 days, which facilitated a complete resolution of the lesions.http://link.springer.com/article/10.1186/s12941-020-00382-yMajocchi’s granulomaTrichophyton tonsuransItraconazoleForearm |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yun-yan Zheng Yue Li Ming-yan Chen Qian-yun Mei Ru-zhi Zhang |
spellingShingle |
Yun-yan Zheng Yue Li Ming-yan Chen Qian-yun Mei Ru-zhi Zhang Majocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patient Annals of Clinical Microbiology and Antimicrobials Majocchi’s granuloma Trichophyton tonsurans Itraconazole Forearm |
author_facet |
Yun-yan Zheng Yue Li Ming-yan Chen Qian-yun Mei Ru-zhi Zhang |
author_sort |
Yun-yan Zheng |
title |
Majocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patient |
title_short |
Majocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patient |
title_full |
Majocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patient |
title_fullStr |
Majocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patient |
title_full_unstemmed |
Majocchi’s granuloma on the forearm caused by Trichophyton tonsurans in an immunocompetent patient |
title_sort |
majocchi’s granuloma on the forearm caused by trichophyton tonsurans in an immunocompetent patient |
publisher |
BMC |
series |
Annals of Clinical Microbiology and Antimicrobials |
issn |
1476-0711 |
publishDate |
2020-09-01 |
description |
Abstract Majocchi's granuloma is an uncommon fungal infection of the dermis and subcutaneous tissue. The most frequently identified cause of Majocchi’s granuloma is anthropophilic Trichophyton rubrum, and it is most commonly located on the anterior aspect of the lower limbs in women. Here, we report a case of Majocchi’s granuloma on the forearm, a site that is rarely involved, in a 62-year-old woman who had been bitten by a dog. Histological examination revealed a dense dermal infiltrate composed of lymphoplasmacytic cells and neutrophils, with hyphae in the dermis. The presence of the fungus, Trichophyton tonsurans, was confirmed by mycological examination and molecular methods. Therefore, histological and mycological examination confirmed the diagnosis of Majocchi’s granuloma. The patient was treated with local moxibustion and itraconazole, 200 mg/day, for 60 days, which facilitated a complete resolution of the lesions. |
topic |
Majocchi’s granuloma Trichophyton tonsurans Itraconazole Forearm |
url |
http://link.springer.com/article/10.1186/s12941-020-00382-y |
work_keys_str_mv |
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