Clinical and epidemiological aspects of various forms of fungal infections caused by Trichophyton tonsurans

In the years 1977-1996 103 cases of mycosis caused by Trichophyton tonsurans with lesions in a variety of locations were treated. T. tonsurans was most often cultured from the feet (61.2%), and toe nails (22.3%), although smaller quantities were also obtained from other locations. In 1990, an endemic focus of superficial ringworm of the hairless skin caused by T. tonsurans was observed in 23 village children. The endemic focus of trichophytos is caused by this dermatophyte gives evidence of a high infectious potential of this species. In favourable circumstances the dermatophyte can cause massive fungal infections also in our geographic region.     

Trichophyton tonsurans scalp carriage among wrestlers in a national competition in Turkey

Trichophyton tonsurans tinea gladiatorum is an emerging epidemic among combat-sport athletes across the globe. In the present study, we investigated the prevalence of symptomatic and asymptomatic dermatophytic infections among wrestlers in the National Greco-Roman Championship in Turkey. In total, 194 wrestlers from 32 provinces and 72 clubs were examined for scalp, trunk, groin, and toe web dermatophytic infections. We also administered a questionnaire to obtain information on the participants' lifestyles, wrestling characteristics, and risk factors for dermatophytic infections. The hairbrush method was used for scalp and trunk sampling, whereas a cotton swab was used for groin, toe web, and mat sampling. Three wrestling mats in the gymnasium were surveyed for dermatophytes using the touch preparation method. A total of 17 (8.8%) wrestlers harbored dermatophytes, and 22 strains were isolated: 13 (59.1%) T. tonsurans and 9 (40.9%) T. rubrum. These isolates were found on the scalp (8), trunk (2), forearm (1), hand (1), groin (3), and feet (7). In addition, we recovered 8 dermatophyte strains from the 150 mat samples (5.3%): T. rubrum in 6 samples (75%) and T. tonsurans in two samples (25%). T. tonsurans was only recovered from 11 out of 194 (5.7%) wrestlers. Scalp carriage represents the predominant (72.7%) clinical picture of a T. tonsurans infection in these Greco-Roman wrestlers in Turkey.     

Genotype analysis of the variable internal repeat region in the rRNA gene of Trichophyton tonsurans isolated from Japanese Judo practitioners

Tinea capitis due to Trichophyton tonsurans is currently epidemic among Japanese Judo practitioners. T. tonsurans has seven genotypes in a variable internal repeat (VIR) region of the rRNA gene. All 101 isolates obtained from Japanese Judo practitioners had the identical genotype. This suggests that a specific genotype strain occurs throughout Japan.     

Use of arbitrarily primed polymerase chain reaction to differentiate Trichophyton dermatophytes

Abstract Dermatophytes such as Trichophyton species are common human pathogens, the infection of which results in dermatophytosis (also known as ringworm). Several laboratory tests are used routinely for the diagnosis of dermatophytosis, but they are either slow or lacking specificity. Through examination of genomic DNA from Trichophyton dermatophytes and other fungi in arbitrarily primed PCR, it was shown that a random primer 5'-ACCCGACCTG-3' produced bands of 4.3 kb, 1.9 kb, 1.7 kb and 0.7 kb in T. rubrum DNA, bands of 2.5 kb, 1.9 kb and 0.8 kb in T. mentagrophytes var. interdigitale and T. mentagrophytes var. mentagrophytes DNA, and bands of 2.5 kb, 1.9 kb, 1.5 kb and 0.9 kb in T. tonsurans DNA. This primer amplified bands of different sizes in other fungal DNA. Therefore, based on the distinct band patterns observed in arbitrarily primed PCR using this primer, T. rubrum , T. mentagrophytes and T. tonsurans dermatophytes could be rapidly differentiated.     

Polyphasic Discrimination of Trichophyton tonsurans and T. equinum from Humans and Horses

Mycopathologia - The anthropophilic dermatophyte Trichophyton tonsurans and its zoophilic counterpart T. equinum are phylogenetically closely related. The barcoding marker rDNA internal transcribed...     

A compilation of published reports of mycoses in animals in India

The available published reports on animal mycoses in India and the fungal agents isolated from animal material are discussed.Among dermatophytes, the occurrence of Trichophyton verrucosum, T. mentagrophytes, T. rubrum, T. equinum, T. violaceum, T. simii, T. tonsurans, T. terrestre, T. ajelloi, Microsporum canis, M. gypseum and M. nanum has been reported. Cases of aspergillosis, candidiasis, phycomycosis, rhinosporidiosis, epizootic lymphangitis, mycotic abortions and mycotic mastitis have been recorded in animals in this country. However, there is no report of histoplasmosis, sporotrichosis, blastomycosis and coccidioidomycosis among animals from India.     

In vitro activity of <Emphasis Type="Italic">Penicillium chrysogenum</Emphasis> antifungal protein (PAF) and its combination with fluconazole against different dermatophytes

Strains of five dermatophyte species (Microsporum canis, Microsporum gypseum, Trichophyton mentagrophytes, Trichophyton rubrum and Trichophyton tonsurans) were selected for testing against Penicillium chrysogenum antifungal protein (PAF) and its combination with fluconazole (FCZ). Inhibition of microconidia germination and growth was detected with MICs of PAF ranging from 1.56 to 200 mug ml(-1) when it was used alone, or at constant concentration (100 mug ml(-1)) in combination with FCZ at from 0.25 to 32 mug ml(-1). The MICs for FCZ were found to be between 0.25 and 128 mug ml(-1). PAF caused a fungicidal effect at 200 mug ml(-1) and reduced growth at between 50 and 200 mug ml(-1). Total growth inhibition with fungistatic activity was detected at 64 mug ml(-1) of FCZ for M. gypseum, T. mentagrophytes, and T. tonsurans, and at 32 mug ml(-1) FCZ for M. canis and T. rubrum. PAF and FCZ acted synergistically and/or additively on all of the tested fungi except M. gypseum, where no interactions were detected.     

卡泊芬净、米卡芬净对8种皮肤癣菌体外抑菌活性的研究

目的评价棘白菌素类抗真菌药物卡泊芬净（caspofungin）、米卡芬净（micafungin）针对常见致病性皮肤癣菌的体外抗菌活性。方法参考CLSI制定的M38-A2方案。测定82株常见皮肤癣菌的最低有效浓度（minimal effective concentrations,MECs）。结果按照MEC90浓度从高到低,米卡芬净对紫色毛癣菌和断发毛癣菌的MEC90是0.25μg/mL;对犬小孢子菌、疣状毛癣菌的MEC90为0.06μg/mL;对红色毛癣菌、须癣毛癣菌、石膏小孢子菌、絮状表皮癣菌的MEC90均在0.03μg/mL。②卡泊芬净对红色毛癣菌、紫色毛癣菌和断发毛癣菌的MEC90为1μg/mL;对须癣毛癣菌、犬小孢子菌、石膏小孢子菌、絮状表皮癣菌和疣状毛癣菌的MEC90为0.5μg/mL。③根据中位数检验,米卡芬净对几种皮肤癣菌的MEC值均低于卡泊芬净的MEC值,统计学比较有显著性差异（P〈0.05）。结论米卡芬净和卡泊芬净对皮肤癣菌有较强的抑菌作用,米卡芬净的MEC值低于卡泊芬净。     

Culture medium alkalinization by dermatophytes

95 dermatophyte strains (12 of Trichophyton mentagrophytes, 12 of T. tonsurans, 11 of T. rubrum, 12 of T. megninii, 12 of T. violaceum, 2 of T. schoenleinii, 1 of T. soudanense, 12 of M. canis, 8 of Microsporum gypseum, 1 of M. ferrugineum and 12 of Epidermphoyton floccosum). 1 of Aspergillus niger, 1 of A. ochraceus, 1 of Paecilomyces sp., 1 of Penicillium sp. and 1 of Candida albicans were grown in Sabouraud liquid medium for the study of pH variation over 6 weeks at room temperature and after 4 weeks at 37 degrees C. All the dermatophyte strains alkalinized the medium. The highest pH values after 2-3 weeks' development in room temperature were produced by T. mentagrophytes, M. gypseum and M. canis, and the lowest by T. rubrum and T. violaceum. After the 4th week the alkalinizing activity became more marked for T. mentagrophytes and remained stationary for T. violaceum, In the 5th week the values produced by T. tonsurans were higher than those for M. gypseum, and those for E. floccosum and T. megninii were higher than those of M. canis. A similar behaviour was observed for T. rubrum and T. megninii and for M. canis, M. gypseum and M. ferrugineum. There seems to be a relation between the alkalinizing capacity and the rapidity and amount of the growth. At 37 degrees C both alkalinization and range of variation of the pH values of the medium became more noticeable for the strains of each species.     

Resistance to azolic compounds in clinical Trichophyton spp. strains

The increase of dermathophytosis in patients with poor therapeutic response leads us to study the antifungal susceptibility of 36 clinical isolates to itraconazole, ketoconazole and fluconazole by the E-test method. According to established parameters by the Clinical Laboratory Standards Institute, the resistance to one or more antifungal drugs was demonstrated in seven isolates (19.4%) as follows: three Trichophyton rubrum, three T. mentagrophytes and one T. tonsurans. A T. rubrum isolate was resistant to the three azolic drugs; the other six only to fluconazole. It is important to establish the antifungal susceptibility as part of the study procedures in patients with dermatophytosis and a poor antifungal response.     

Immunological Studies on Dermatophytes IV. Chemical Structures and Serological Reactivities of Polysaccharides from Microsporum praecox, Trichophyton ferrugineum, Trichophyton sabouraudii, and Trichophyton tonsurans

The chemical structures and serological specificities of polysaccharides isolated from four species of dermatophytes, Microsporum praecox, Trichophyton ferrugineum, T. sabouraudii, and T. tonsurans, were investigated. Each of these species yielded a mixture of crude polysaccharides which could be separated into three water-soluble, neutral polysaccharides free of nitrogen. These were grouped as galactomannan I, galactomannan II, and glucan. The galactomannans I were quite similar in chemical structure. When measured by complement fixation, their serological cross-reactivities were similar with rabbit antisera to each of these species except T. sabouraudii. The differences in their relative reactivities with this antiserum could be correlated with differences in structure and specificity of this antiserum for galactofuranose end groups. The galactomannans II differed both in chemical structure and in their serological reactivities with antisera to each of these species. The galactomannan II from T. ferrugineum differed most in chemical structure and was the least reactive serologically. The glucans also differed in both structure and serological reactivities.     

Mycological view of dermatophytes in humans.

Dermatophytes are a group of closely related fungi that have the capacity to invade keratinized tissue (skin, hair, and nails) of humans and animals to produce an infection, dermatophytosis, commonly referred to as ringworm. Dermatophytoses are common of world wide: in the United States, Microsporum audouinii and Microsporum canis, once the major agents of tinea capitis, have been superseded by Trichophyton tonsurans. Since the 1950s, T. tonsuranshas advanced from Mexico and the Caribbean and is now the prevalent cause of tinea capitisin North America. M. canisis the prevalent agent of tinea capitis in many regions of the world, including Spain, at this moment. This could be related to close association of humans with their pets. M. canis is more prevalent in urban areas and Trichophyton mentagrophytes in rural ones. The superficial dermatophyte infections of the skin do not represent a single disease, their clinical appearance is dependent largely on the region of the body affected. There are more antifungal preparations available today than at any other time in medical history. Oral antifungals are indicated or required to treat hyperkeratotic areas such as nails, palms, soles and tinea capitis, patients with disabling or extensive disease, patients intolerant to or who have failed topical therapy, tose with chronic infection, those with granulomatous lesions and patients immunosuppressed by disease or by therapy. A successfull eradication of the fungi is now possible with relatively short treatment regimens.     

Onychomycosis in Ceará (Northeast Brazil): epidemiological and laboratory aspects

Knowledge of epidemiological and mycological characteristics of onychomycosis has been noted by many authors as being an important tool for control of these fungal infections. This study seeks to improve knowledge of onychomycosis epidemiology and mycological features. Samples were taken from infected fingernails and toenails of 976 patients undergoing treatment at a respected Dermatology Center in Ceará, Fortaleza, CE, Brazil. Specimens from 512 patients (52%) were positive for onychomycosis. From the culture-positive samples, yeasts of the genus Candida (C. albicans, C. tropicalis, C. krusei, C. parapsilosis) were dominant. The dermatophytes isolated (Trichophyton rubrum, T. tonsurans, T. mentagrophytes var. mentagrophytes) were dominant in 46 patients (12.99%). The mould Fusarium spp. was isolated from 29 patients (8.19%). Yeast of the genus Candida is the main causal factor in onychomycosis in our region. Also, the study showed the importance of performing direct examination and culture in diagnosis of onychomycosis.     

Biotransformation of pentacyclic terpene isolated from Alstonia scholaris (R.BR.)

Abstract

Betulin (1) a pentacyclic triterpene was isolated from medicinal plant Alstonia scholaris (R.BR.) and its structural modification by five filamentous fungi was investigated using flask shake and stirred bioreactor methods. Screening-scale and preparative-scale biotransformation with a standard two-stage protocol yielded betulinic acid (2). Out of five fungal strains (Microsporum canis, Trichophyton tonsurans, Aspergillus niger, A. niger NIAB-280 and Penicillium spp.) only two strains, M. canis and T. tonsurans, showed significant yield of (2). Samples withdrawn from fermentation medium were extracted with ethyl acetate and purified using column chromatography. Compound 2 was extracted from fermentation medium after 5–10 days. Flasks and the bioreactor were stirred at 250 rpm and 28°C. The yield of (2) gradually increased with incubation time. A stirred bioreactor was found to be convenient and simple for compound 1 oxidation. A validated analytical HPLC method was employed to confirm the biotransformation of compound 1 to 2.     

Synthesis, characterization and antifungal activity of a series of manganese(II) and copper(II) complexes with ligands derived from reduced N,N'-O-phenylenebis(salicylideneimine)

A series of manganese(II) and copper(II) complexes with reduced Schiff bases derived from o-phenylenediamine has been prepared and characterized by elemental analysis, TG measurements, ESR, magnetic measurements, FTIR, UV-Visible spectra and conductivity. These complexes were found to be [MnL(H2O)n] and [CuL](H2O)n species with n=0-2. Their antifungal activity was evaluated on different human fungi including yeasts of the Candida genus (C. albicans, C. glabrata, C. tropicalis and C. parapsilopsis) some opportunistic moulds belonging to the Aspergillus (A. fumigatus, A. terreus and A. flavus), Scedosporium genus (S. apiospermum and S. prolificans) and some dermatophytes (M. gypseum, M. persicolor, T. mentagrophytes, M. canis and T. tonsurans). The manganese complexes showed a significant growth inhibition of the dermatophytes tested and fungi of the genus Scedosporium. This is very interesting as these fungi are usually poorly susceptible to current antifungal including Amphotericin B and Itraconazole chosen as reference in this study.     

Mycological study of 519 cases of ringworm infections in Portugal

Summary The A. studied 572 cases of dematomycosis and identified the causative agent in 519 (90.7%). Mosaic fungi were observed through direct examination only in scales from feet, independently of demonstration of dermatophytes; for this reason diagnostic value was not attached to those figures. The nutritional tests in 126 strains confirmedGeorg's results and was particularly useful for the identification ofT. tonsurans, T. megninii andT. verrucosum.Account is given about the agents obtained from the different localizations.T. verrucosum was identified for the first time in Portugal, andT. megninii seemed more frequent than in other countries.The A. found 66 cases with multiple localizations and assumes that tinea must be considered a single infection produced by dermatophytes in skin and its appendages independently of its clinical form or localization.Supported by a grant of the Instituto de Alta Cultura, Ministry of Education.     

The effect of sodium chloride on the growth and morphology of dermatophytes and some other keratolytic fungi.

A study of the influence of various concentrations of NaC1 on 21 species of dermatophytes and other keratolytic fungi was made. Based on the sensitivity of the species to various concentrations of NaC1, it was possible to divide them into five groups. Microsporum ferrugineum and Trichophyton concentricum and T. tonsurans were the most sensitive to NaC1 and were inhibited by 5%. The greatest number of species were inhibited by 12% NaC1. The fungi most tolerant to NaC1 were M. cookei and M. nanum, and T. mentagrophytes, T. schoenleinii, and T. terrestre. These species were inhibited by 15%. NaC1 prevented any variant change in Epidermophyton floccosum, T. mentagrophytes, and M. gypseum, but promoted a change in phenotype in M. audouinii and M. cookei, and T. gallinae. It is suggested that the word "pleomorphism" be replaced by the term sterile albinism. This term refers to that kind of cultural change when there is no evidence of sporulation and the white fluffy mycelium consists of fine sterile hyphae. Sterile albino strains of E. floccosum were induced to form a macroconidia on Sabouraud cycloheximide chloramphenicol gentamicin agar (SCCGA) containing 3-5% NaC1. Also, M. audouinii formed microconidia and macroconidia in velvety growth cultured on SCCGA containing NaC1.     

TRICHOPHYTON TONSURANS (CRATERIFORME) INFECTION OF THE SCALP

Of 484 cases of ringworm of the scalp observed in a period of two and a half years at a clinic in Los Angeles, 57 (11.78 per cent) were caused by Trichophyton tonsurans, an organism previously considered an infrequent cause of tinea capitis in the United States. The hairs at the site of infection with this organism are distinctively fluorescent when viewed under a Wood light—glowing white rather than green as do hairs infected with microsporum. Endothrix spore formation may be noted in microscopic examination of infected hairs. Material planted on Sabouraud''s media grows as a typical crateriform colony. Occasionally variant growths on cultures are obtained.Trichophyton tonsurans may cause either dry, scaly lesions or inflammatory reaction. In the present series the incidence of cure was higher and the period of treatment shorter for patients with the inflammatory variety. Various antifungal preparations were employed for topical application and although the results were extremely variable, it was felt that some benefit was derived from their use. For lesions of the dry, non-inflammatory type, roentgen ray epilation appeared to be the treatment of choice.     

Inhibition of pathogenic fungi in vitro by p-hydroxy methyl benzoate

Summary p-hydroxy methyl benzoate is fungistatic, in rather low concentrations, to pathogenic fungi. 0.1 %p-hydroxy methyl benzoate was required to inhibit growth ofCandida albicans andMonosporium apiospermum on a Sabouraud's agar medium.Trichophyton mentagrophytes, T. tonsurans, Geotrichum sp.,Sporotrichum schenckii, Blastomyces dermatitidis andCryptococcus neoformans failed to grow in the presence of 0.05 %p-hydroxy methyl benzoate. Growth ofEpidermophyton floccosum, Microsporum audouini, M. canis, M. gypseum, Trichophyton ferrugineum, T. rubrum, Hormodendrum compactum, H. Pedrosoi, Phialophora verrucosa, Nocardia asteroides, Coccidioides immitis, Haplosporangium parvum andHistoplasma capsulatum was suppressed by 0.025 % but not by 0.0125 % of this compound.