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Dermatophyte pseudomycetoma: a case report

A W Chen1, J W Kuo, J S Chen

  • 1Department of Dermatology, National Taiwan University Hospital, Taipei.

The British Journal of Dermatology
|December 1, 1993
PubMed
Summary
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A rare fungal infection caused a man to develop prominent scalp masses. Microsporum ferrugineum was identified, leading to the proposed term "dermatophyte pseudomycetoma" for this distinct mycosis.

Area of Science:

  • Dermatology
  • Mycology
  • Infectious Diseases

Background:

  • Tinea capitis and tinea corporis are common superficial fungal infections of the skin.
  • Subcutaneous fungal infections can present with varied clinical manifestations.

Observation:

  • A 25-year-old male presented with significant subcutaneous masses on his occipital scalp.
  • The patient had a documented history of recurrent tinea capitis and tinea corporis.

Findings:

  • Histopathology revealed fungal mycelial aggregates within the deep dermis and subcutaneous tissue.
  • Fungal cultures from lesions and scales identified Microsporum ferrugineum.
  • The distinct clinical and histopathological findings suggest a novel presentation of dermatophytosis.

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Implications:

  • This case introduces the term 'dermatophyte pseudomycetoma' for this unique fungal infection.
  • Highlights the potential for dermatophytes to cause deeper, mass-forming lesions.
  • Emphasizes the importance of considering fungal etiology in subcutaneous scalp masses, especially in endemic areas.