A Rare Case of Cutaneous Trichophyton verrucosum of the Forearm in a 51-Year-Old Cattle Farmer

Alissa Guebeli; Philipp Honigmann; Kirsten Mertz; Niels Willi; Georg Julian Claas; Marco Keller

doi:10.1016/j.jhsa.2020.12.007

A Rare Case of Cutaneous Trichophyton verrucosum of the Forearm in a 51-Year-Old Cattle Farmer

J Hand Surg Am. 2021 Dec;46(12):1128.e1-1128.e4. doi: 10.1016/j.jhsa.2020.12.007. Epub 2021 Feb 10.

Authors

Alissa Guebeli¹, Philipp Honigmann², Kirsten Mertz³, Niels Willi³, Georg Julian Claas⁴, Marco Keller⁵

Affiliations

¹ Department of Hand Surgery, Kantonsspital Baselland, Liestal, Switzerland; Medical Additive Manufacturing Research Lab, Department of Biomedical Engineering, University of Basel, Allschwil, Switzerland.
² Department of Hand Surgery, Kantonsspital Baselland, Liestal, Switzerland; Medical Additive Manufacturing Research Lab, Department of Biomedical Engineering, University of Basel, Allschwil, Switzerland; Department of Biomedical Engineering and Physics, University of Amsterdam, Amsterdam, The Netherlands.
³ Institute of Pathology, Kantonsspital Baselland, Liestal, Switzerland.
⁴ Institute of Infectiology, Kantonsspital Baselland, Liestal, Switzerland.
⁵ Department of Hand Surgery, Kantonsspital Baselland, Liestal, Switzerland; Medical Additive Manufacturing Research Lab, Department of Biomedical Engineering, University of Basel, Allschwil, Switzerland. Electronic address: [email protected].

PMID: 33581912
DOI: 10.1016/j.jhsa.2020.12.007

Abstract

Trichophyton verrucosum is a pathogen causing superficial mycoses in cattle worldwide and is one of the few zoophilic dermatophytes. Farmers and veterinarians are at a higher risk for infection owing to frequent direct animal contact. An increase in cases among humans has been observed in the past few years. We report a rare case of T verrucosum of the forearm in a 51-year-old cattle farmer, who after initial treatment with antibiotics and surgery, and in whom diagnosis was delayed, was finally successfully treated with terbinafine and itraconazole.

Keywords: Forearm; Trichophyton verrucosum; skin; zoonosis.

Publication types

Case Reports

MeSH terms

Animals
Arthrodermataceae*
Cattle
Farmers
Forearm
Humans
Tinea* / diagnosis
Tinea* / drug therapy
Tinea* / veterinary
Trichophyton

Supplementary concepts

Trichophyton verrucosum