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Updated: Jul 7, 2026

14:53
Bovine Mammary Gland Biopsy Techniques
Published on: December 23, 2018
The man who got too close to his cows
Shane Silver1, Donald C Vinh, John M Embil
1Department of Dermatology, University of Manitoba, Winnipeg, Manitoba R3T 2N2, Canada.
Diagnostic Microbiology and Infectious Disease
|February 6, 2008
Summary
Trichophyton verrucosum, a fungal infection, can mimic bacterial cellulitis in humans, leading to misdiagnosis. Early identification and antifungal treatment are crucial for effective management of this zoophilic dermatophyte.
Area of Science:
- Dermatology
- Mycology
- Infectious Diseases
Background:
- Trichophyton verrucosum is a common zoophilic dermatophyte causing chronic skin infections.
- Its varied presentation can include inflammatory lesions and systemic symptoms like fever.
- Misdiagnosis as bacterial infections is frequent, delaying appropriate antifungal treatment.
Observation:
- A cattle farmer presented with extensive, treatment-resistant erythematous skin plaques.
- The patient's cows were concurrently being treated for ringworm.
- Symptoms mimicked bacterial cellulitis, leading to unsuccessful antibiotic therapy.
Findings:
- Skin biopsy confirmed fungal elements, and culture identified Trichophyton verrucosum.
- The patient's history of contact with infected livestock was a key diagnostic clue.
- Successful treatment was achieved with the antifungal medication itraconazole.
Implications:
- Highlights the importance of considering fungal infections in zoophilic dermatophytosis, especially in agricultural settings.
- Emphasizes the need for accurate diagnosis to avoid prolonged and ineffective antibiotic treatments.
- Underscores the efficacy of systemic antifungal therapy for extensive T. verrucosum infections.
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