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Extensive and deep dermatophytosis caused by Trichophyton mentagrophytes var. interdigitalis in an HIV-1 positive
M A Muñoz-Pèrez1, A Rodriguez-Pichardo, F Camacho
1Department of Dermatologyy, Virgen Macarena Hospital School of Medicine, Sevilla, Spain.
Background:
Cutaneous infections are common in HIV-1 positive patients and are usually severe, recurrent, and caused by microorganisms that are unusual in immunocompetent patients.
Objective:
We report a case of an HIV-1-positive 23-year-old male, with a history of intravenous drug use, in stage C-II (CDC '86), with a CD4 lymphocyte count of 335 cells/mm3. He had multiple, large erythematous, circinate and pustular plaques on his abdomen, back, arms and legs.
Results:
We isolated Trichophyton mentagrophytes var. interdigitalis from the lesions. The biopsy showed suppurative deep dermatophytosis and folliculitis. The patient satisfactorily responded to itraconazole (100 mg/d for 14 days).
Conclusion:
This is the first reported case of deep dermatophytosis caused by T. mentagrophytes in an HIV-positive patient.