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Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
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The Bovine Lung in Biomedical Research: Visually Guided Bronchoscopy, Intrabronchial Inoculation and In Vivo Sampling Techniques
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[Pustules from the cow barn].

O Richter1, R Litschel, S J Stöckli

  • 1Hals-Nasen-Ohren-Klinik, Kantonsspital St. Gallen, Rorschacherstr. 95, 9007, St. Gallen, Schweiz.

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|August 21, 2010
PubMed
Summary
This summary is machine-generated.

A rare fungal infection of the skin, Tinea barbae, was diagnosed in a cattle farmer. Effective treatment involved oral itraconazole and topical miconazole, highlighting successful management of this zoonotic condition.

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Area of Science:

  • Dermatology
  • Mycology
  • Zoonosis

Background:

  • Tinea barbae is a superficial fungal infection affecting hair follicles and skin of the beard and neck.
  • It is primarily caused by zoophilic dermatophytes, with *Trichophyton verrucosum* being the most common etiological agent in cattle farmers.
  • Zoonotic transmission occurs through direct contact with infected animals or contaminated fomites.

Observation:

  • A 54-year-old male cattle farmer presented with characteristic crusty, purulent plaques on his neck.
  • Clinical examination revealed lesions consistent with a dermatophyte infection.
  • Microscopical examination of skin scrapings confirmed the presence of hyphae, and Wood's lamp examination supported the diagnosis.

Findings:

  • The patient was diagnosed with Tinea barbae based on clinical presentation, microscopy, and Wood's lamp findings.
  • Treatment with oral itraconazole (200 mg once daily) and topical miconazole ointment (applied once daily) for two weeks resulted in a successful clinical outcome.
  • This case underscores the importance of considering Tinea barbae in individuals with occupational exposure to cattle.

Implications:

  • Early and accurate diagnosis of Tinea barbae is crucial for effective management and prevention of complications.
  • This case highlights the successful therapeutic role of systemic and topical antifungal agents in treating Tinea barbae.
  • Raising awareness among healthcare professionals about this zoonotic fungal infection is essential for timely diagnosis and treatment, especially in agricultural communities.