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Hedgehog-Transmitted Trichophyton erinaceid Causing Painful Bullous Tinea Manuum
Amanda L Walsh1, Nelson Merchan1, Carl M Harper1
1Department of Orthopaedic Surgery, Division of Hand and Upper Extremity, Beth Israel Deaconess Medical Center, Boston, MA.
Abstract:
Trichophyton is a species of fungus that commonly infects hedgehogs. As the popularity of keeping hedgehogs as pets increases, there have been reports of Trichophyton species infection in humans. Diagnosis and appropriate treatment of Trichophyton infection can be delayed owing to physicians' low index of suspicion and unfamiliarity with the physical manifestations. We describe a case of a 27-year-old healthy man who developed tinea manuum after handling a pet hedgehog. Presenting symptoms included a worsening bullous eruption and severe pain. Both fungal and histopathological study confirmed Trichophyton infection. He was treated with oral and topical antifungal medication. All symptoms resolved 2 weeks after initiation of treatment.
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