Images in Clinical Medicine
Tinea Barbae: Man and Beast
N Engl J Med 1998; 338:735March 12, 1998
- Article
Figure 1 A 23-year-old brick mason presented with a three-month history of a boggy, crusted nodule on his upper lip (Panel A). Areas of alopecia and pustules were noted within the lesion. The man owned a bull mastiff, which also had alopecia on his snout that had begun approximately five months previously (Panel B). The patient recalled being nipped on the upper lip by his dog about five months earlier. Culture of the man's lesion revealed a buff-colored powdery colony, with growth within 7 to 10 days (Panel C). Microscopical examination revealed spiral, coiled hyphae and microconidia that were arranged in grape-like clusters (Panel D; lactophenol cotton blue, ×40) and were identified as Trichophyton mentagrophytes variant mentagrophytes. The patient was treated with 200 mg of ketoconazole orally twice a day for one month, and his dog was referred to a veterinarian for treatment of its dermatophyte infection. Neither the patient nor the dog returned for follow-up.
Dee Anna Glaser, M.D.
Anne T. Riordan, M.D.
St. Louis University, St. Louis, MO 63104- Citing Articles (3)
Citing Articles
1
E. Celik, M. Ilkit, F. Tanir. (2003) Prevalence and causative agents of superficial mycoses in a textile factory in Adana, Turkey. Pravalenz und Erregerspektrum von Hautmykosen in einer Textilfabrik in Adana, Turkei. Mycoses 46:8, 311-315
CrossRef2
Gregory W. Rutecki, Rebecca Wurtz, Richard B. Thomson. (2000) From animal to man: Tinea barbae. Current Infectious Disease Reports 2:5, 433-437
CrossRef3
(1998) Tinea Barbae: Man and Boxer. New England Journal of Medicine 339:4, 272-272
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