Korean J Med Mycol.  1996 Dec;1(1):113-117.

Two Cases of Fungal Granuloma Caused by Trichophyton mentagrophytes

• Park SH
• Lee KH
• Bang D
• Lee JB

Abstract

Dermatophytes have been demonstrated infrequently in the dermis, subcutis, lymph nodes, bones and other tissues. A few cases of deep granulomatous cutaneous infections due to dermatophytes have been reported, but Trichophyton mentagrophytes are extremely rare. We report two cases of T. mentagrophytes infection showing unusual granulomatous manifestations. A 63-year-old woman presented with multiple erythematous patches and nodules on both arms and lower extremities for 3 months. The second patient was a 69-year-old man who had erythematous annular plaques on the dorsum of the left hand for 4 months. Histopathologic examinations of the skin lesions of both patients showed chronic granulomatous inflammation with fungal elements. The biopsy specimens yielded T. mentagrophytes on culture. The skin lesions were cured after administration of itraconazole.

Keyword

Fungal granuloma; Dermatophyte; Trichophyton mentagrophytes

MeSH Terms

Aged
Arm
Arthrodermataceae
Biopsy
Dermis
Female
Granuloma*
Hand
Humans
Inflammation
Itraconazole
Lower Extremity
Lymph Nodes
Middle Aged
Skin
Trichophyton*
Itraconazole