Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>

<i>Trichophyton indotineae</i> causes resistant dermatophytosis to terbinafine. The global spread of terbinafine-resistant <i>Trichophyton indotineae</i> strains with mutations in the squalene epoxidase gene is a major issue. This emerging species is now more frequently isola...

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Main Authors: Giuseppe Russo, Laurence Toutous Trellu, Lionel Fontao, Béatrice Ninet
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Journal of Fungi
Subjects:
Online Access:https://www.mdpi.com/2309-608X/9/7/733
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author Giuseppe Russo
Laurence Toutous Trellu
Lionel Fontao
Béatrice Ninet
author_facet Giuseppe Russo
Laurence Toutous Trellu
Lionel Fontao
Béatrice Ninet
author_sort Giuseppe Russo
collection DOAJ
description <i>Trichophyton indotineae</i> causes resistant dermatophytosis to terbinafine. The global spread of terbinafine-resistant <i>Trichophyton indotineae</i> strains with mutations in the squalene epoxidase gene is a major issue. This emerging species is now more frequently isolated in Europe and we report here two cases of <i>T. indotineae</i> tinea corporis in Switzerland, one with in vitro resistance to terbinafine and a second with in vitro susceptibility but a clinical resistance. Mycology isolation from cultures and sequencing ITS gene were used to confirm <i>T. indotineae</i> infection. In vitro antifungal susceptibility was tested in a microplate with a colorimetric detection of fungal viability for the determination of the minimal inhibitory concentration (MIC). Facing these emerging resistances and since there are a limited number of antifungal agents available to treat dermatophytosis, the early detection of terbinafine resistance should be a prerequisite in the management of <i>T. indotineae</i> infections.
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spelling doaj.art-b9fc92197cc14a65abe4fafa65aebd022023-11-18T20:01:38ZengMDPI AGJournal of Fungi2309-608X2023-07-019773310.3390/jof9070733Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>Giuseppe Russo0Laurence Toutous Trellu1Lionel Fontao2Béatrice Ninet3Division of Dermatology and Venereology, University Hospital of Geneva, CH-1205 Geneva, SwitzerlandDivision of Dermatology and Venereology, University Hospital of Geneva, CH-1205 Geneva, SwitzerlandDivision of Dermatology and Venereology, University Hospital of Geneva, CH-1205 Geneva, SwitzerlandLaboratory of Dermatology, Division of Laboratory Medicine, University Hospital of Geneva, CH-1205 Geneva, Switzerland<i>Trichophyton indotineae</i> causes resistant dermatophytosis to terbinafine. The global spread of terbinafine-resistant <i>Trichophyton indotineae</i> strains with mutations in the squalene epoxidase gene is a major issue. This emerging species is now more frequently isolated in Europe and we report here two cases of <i>T. indotineae</i> tinea corporis in Switzerland, one with in vitro resistance to terbinafine and a second with in vitro susceptibility but a clinical resistance. Mycology isolation from cultures and sequencing ITS gene were used to confirm <i>T. indotineae</i> infection. In vitro antifungal susceptibility was tested in a microplate with a colorimetric detection of fungal viability for the determination of the minimal inhibitory concentration (MIC). Facing these emerging resistances and since there are a limited number of antifungal agents available to treat dermatophytosis, the early detection of terbinafine resistance should be a prerequisite in the management of <i>T. indotineae</i> infections.https://www.mdpi.com/2309-608X/9/7/733<i>Trichophyton indotineae</i>terbinafine-resistancedermatophyte infectiontinea corporisantifungal susceptibility
spellingShingle Giuseppe Russo
Laurence Toutous Trellu
Lionel Fontao
Béatrice Ninet
Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>
Journal of Fungi
<i>Trichophyton indotineae</i>
terbinafine-resistance
dermatophyte infection
tinea corporis
antifungal susceptibility
title Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>
title_full Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>
title_fullStr Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>
title_full_unstemmed Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>
title_short Towards an Early Clinical and Biological Resistance Detection in Dermatophytosis: About 2 Cases of <i>Trichophyton indotineae</i>
title_sort towards an early clinical and biological resistance detection in dermatophytosis about 2 cases of i trichophyton indotineae i
topic <i>Trichophyton indotineae</i>
terbinafine-resistance
dermatophyte infection
tinea corporis
antifungal susceptibility
url https://www.mdpi.com/2309-608X/9/7/733
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