Tinea barbae due to Trichophyton mentagrophytes related to persistent child infection

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Abstract

Summary.

The case of a 42-year-old father is presented with 6 weeks' history of a painful kerion-like sycosis barbae. His two children had suffered from tinea manus 3 months previously, also caused by the zoophilic fungus Trichopyhton mentagrophytes probably acquired from guinea-pigs. Seemingly ignoring the pathogenetic link, oral antibacterial treatment had been the first therapeutic attempt initiated by the family physician. Finally, successful treatment was performed by means of oral application of fluconazole 50 mg daily for a period of 6 weeks.

Der Fall eines 42jährigen Vaters mit einer 6 Wochen anhaltenden, schmerzhaften kerionartigen Sycosis barbae wird präsentiert. Beide Kinder waren drei Monate zuvor an einer Tinea manus erkrankt, hervorgerufen durch den zoophilen Pilz T. mentagrophytes, welcher wahrscheinlich durch Meerschweinchen übertragen worden war. Anscheinend ignorierte der Hausarzt den kausalen Zusammenhang und behandelte oral zunächst antibakteriell. Zur Abheilung war es schließlich nach der Einnahme von 50 mg Fluconazol täglich über 6 Wochen gekommen.

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