A Case of 
Disseminated Trichophyton Rubrum Infection Presenting as Folliculitis and Impetigo

Keimyung Medical Journal 1996;15(3):274-279.

A Case of Disseminated Trichophyton Rubrum Infection Presenting as Folliculitis and Impetigo

모낭염 및 농가진 임상 양상을 보인 범발성 Trichophyton Rubrum 감염증 1례

김창욱; 구본식; 김병천; 이규석; 공수득; 송준영

Abstract

Trichophyton rubrum is anthropophilic; Ectothrix; and the most common dermatophyte of a man. The characteristic lesions are one or more circular; sharply circumscribed; slightly erythematous; dry; scaly; patches with elevated border. Other variants are reported; such as granulomatous; bullous or verrucous; versicolor like lesions. We present a case of Trichophyton rubrum infection presenting as folliculitis and impetigo in a 32 years old male who have been treated with Prednisolone (90mg/day) for minimal change nephrotic syndrome. The skin lesion showed widely distributed scaly plaques; crusts and pustules mimicking folliculitis and impetigo. On KOH mount and PAS stain; fungal hyphae were noted and Trichophyton rubrum was isolated on the fungus culture. He was successfully treated by application of itraconazole topical ointment for 6 weeks without recurred lesions.

Key Words: Trichophyton rubrum infection, disseminated, folliculitis and impetigo