Tinea capitis due to Trichophyton soudanense with a papular IDE reaction in Northern Italy

A little boy from a Nigerian family who lives in a little industrialized village in the suburbs of Bergamo, (Northern Italy), has never been to his country but presented with tinea capitis and with a secondary papular pruritic eruption of the trunk. Fungal cultures analysis have shown the development of Trichophyton soudanense, an anthropophilic dermatophyte which is endemic in Africa, but only rarely reported in Italy and in other European countries. The growing racial mixing related to migratory movements is favoring, also in Italy, the integration of this strain with the species which are most commonly responsible for dermatophytoses and the appearance of papular IDE reactions which were only occasionally seen in the Italian children population.