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A severe transmissible Majocchi's granuloma in an immunocompetent returned traveler

James G Gallo1, Marion Woods1, Rikki M Graham2

  • 1Royal Brisbane & Women's Hospital Department of Infectious Diseases, Australia.

Medical Mycology Case Reports
|July 21, 2017
PubMed

Insights

Severe fungal skin infections, like Majocchi's granuloma, are uncommon in healthy adults but have been seen in travelers from Southeast Asia. This report details the first Australian case and its sexual transmission, both treated successfully with antifungals.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Mycology

Background:

  • Severe dermatophyte infections are rare in immunocompetent adults.
  • Recent reports link such infections to travel from Southeast Asia.
  • These infections can be sexually transmitted and lead to lasting complications.

Purpose of the Study:

  • To report the first case of Majocchi's granuloma in an Australian returned traveler.
  • To document the subsequent sexual transmission of the infection.
  • To highlight the importance of considering Majocchi's granuloma in specific patient populations.

Main Methods:

  • Case report of an Australian returned traveler with severe rash.
  • Clinical presentation and diagnostic findings of Majocchi's granuloma.
  • Documentation of sexual transmission and treatment outcomes.

Main Results:

  • The first Australian case of Majocchi's granuloma in a returned traveler is described.
  • The infection was sexually transmitted to a close contact.
  • Both patients achieved successful treatment with systemic antifungal therapy.

Conclusions:

  • Majocchi's granuloma should be considered in the differential diagnosis of severe rash in travelers returning from Southeast Asia.
  • Early diagnosis and treatment with systemic antifungals are crucial for favorable outcomes.
  • The potential for sexual transmission necessitates awareness and appropriate counseling.
Keywords:
Dermatophyte infectionMajocchi's granulomaTinea corporisTrichophyton interdigitale

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