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Published on: April 22, 2019
[Mexican case of tinea incognito and granuloma de Majocchi acquired from a hedgehog]
Lorena Lammoglia-Ordiales1, Erick Martínez-Herrera2, Sonia Toussaint-Caire3
1Servicio de Dermatología, Hospital General Dr. Manuel Gea. González, Ciudad de México, México.
Abstract:
Exotic pets, such as the ground hedgehog, are capable of transmitting to the human being different zoonoses, such as salmonellosis, mycobacteria, protozoa such as Cryptosporidium parvum, and dermatophytosis. We present the case report of a male adult patient, who had recently acquired a ground hedgehog, who presented in his hand a ringworm lesion incognito and a Majocchi granuloma. The etiological agent was identified as Trichophyton erinacei by mycological culture and molecular biology. The patient was treated with terbinafine oral, with excellent response.
Insights
Ground hedgehogs can transmit zoonotic diseases like ringworm to humans. A case study details a patient infected with Trichophyton erinacei from a pet hedgehog, successfully treated with oral terbinafine.
Area of Science:
- Veterinary Dermatology
- Medical Mycology
- Zoonotic Diseases
Background:
- Exotic pets, including ground hedgehogs, can harbor and transmit various zoonotic pathogens to humans.
- Common zoonoses associated with hedgehogs include salmonellosis, mycobacterial infections, protozoal infections (e.g., Cryptosporidium parvum), and dermatophytosis.
- Dermatophytosis, a fungal skin infection, represents a significant public health concern in human-animal interactions.
Observation:
- A case report details a male adult patient who developed a ringworm lesion and Majocchi granuloma on his hand.
- The patient had recently acquired a pet ground hedgehog.
- The clinical presentation was initially suggestive of a less common fungal infection.
Findings:
- Mycological culture and molecular biology techniques identified the etiological agent as *Trichophyton erinacei*.
- *Trichophyton erinacei* is a dermatophyte commonly associated with hedgehogs.
- This specific fungal species was confirmed as the cause of the patient's skin lesions.
Implications:
- This case highlights the potential for *Trichophyton erinacei* transmission from exotic pets like ground hedgehogs to humans.
- Early diagnosis and appropriate antifungal treatment, such as oral terbinafine, are crucial for managing these zoonotic infections.
- Public awareness regarding the zoonotic risks associated with exotic pet ownership is essential for prevention.
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