{"id":3585,"date":"2021-11-25T06:08:53","date_gmt":"2021-11-25T06:08:53","guid":{"rendered":"https:\/\/www.oferreiter.com\/?p=3585"},"modified":"2023-10-29T11:26:48","modified_gmt":"2023-10-29T11:26:48","slug":"a-unique-clinicopathological-manifestation-of-fungal-infection-a-case-series-of-deep-dermatophytosis-in-immunosuppressed-patients","status":"publish","type":"post","link":"https:\/\/www.oferreiter.com\/en\/a-unique-clinicopathological-manifestation-of-fungal-infection-a-case-series-of-deep-dermatophytosis-in-immunosuppressed-patients\/","title":{"rendered":"A Unique Clinicopathological Manifestation of Fungal Infection: A Case Series of Deep Dermatophytosis in Immunosuppressed Patients"},"content":{"rendered":"\r\n\r\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Kershenovich+R&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Ruben Kershenovich<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-1\"><span style=\"font-weight: 400;\">1<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Sherman+S&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Shany Sherman<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-2\"><span style=\"font-weight: 400;\">2<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Reiter+O&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Ofer Reiter<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-1\"><span style=\"font-weight: 400;\">1<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Huss+SR&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Shiran Reiss Huss<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-1\"><span style=\"font-weight: 400;\">1<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Didkovsky+E&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Elena Didkovsky<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-3\"><span style=\"font-weight: 400;\">3<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-4\"><span style=\"font-weight: 400;\">4<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Mimouni+D&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Daniel Mimouni<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-1\"><span style=\"font-weight: 400;\">1<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-4\"><span style=\"font-weight: 400;\">4<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Hodak+E&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Emmilia Hodak<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-1\"><span style=\"font-weight: 400;\">1<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-4\"><span style=\"font-weight: 400;\">4<\/span><\/a><span style=\"font-weight: 400;\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;size=200&amp;term=Segal+R&amp;cauthor_id=28389891\"><span style=\"font-weight: 400;\">Rina Segal<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-1\"><span style=\"font-weight: 400;\">1<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28389891\/#full-view-affiliation-4\"><span style=\"font-weight: 400;\">4<\/span><\/a>\r\n\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><span style=\"font-weight: 400;\">Affiliations\u00a0expand<\/span>\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PMID:\u00a0<\/span><span style=\"font-weight: 400;\">28389891<\/span><\/li>\r\n<\/ul>\r\n<span style=\"font-weight: 400;\">\u00a0<\/span>\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">DOI:\u00a0<\/span><a href=\"https:\/\/doi.org\/10.1007\/s40257-017-0276-y\"><span style=\"font-weight: 400;\">10.1007\/s40257-017-0276-y<\/span><\/a><\/li>\r\n<\/ul>\r\n<h2><span style=\"font-weight: 400;\">Abstract<\/span><\/h2>\r\n<b>Background:\u00a0<\/b><span style=\"font-weight: 400;\">Dermatophytes are the most common cause of superficial fungal infections in humans. Deep dermatophytosis, however, is rare, described to date only in isolated case reports, usually in the setting of systemic immunosuppression.<\/span>\r\n\r\n<b>Objective:\u00a0<\/b><span style=\"font-weight: 400;\">To present the 15-year experience of a tertiary dermato-mycology clinic with the diagnosis and treatment of deep dermatophytosis.<\/span>\r\n\r\n<b>Methods:\u00a0<\/b><span style=\"font-weight: 400;\">Patients were identified by database search. Clinical, mycological, histological, and treatment data were collected from the medical files.<\/span>\r\n\r\n<b>Results:\u00a0<\/b><span style=\"font-weight: 400;\">Ten patients were identified: nine after solid-organ transplantation and one undergoing chemotherapy, all diagnosed within 3 years after beginning immunosuppression (average 7.5 months). The infective agent in nine cases was Trichophyton rubrum. All patients presented with concurrent superficial fungal infections. Complete resolution was noted in response to systemic antifungal agents. There was no histological evidence of hair-follicle involvement.<\/span>\r\n\r\n<b>Limitations:\u00a0<\/b><span style=\"font-weight: 400;\">The limitations of the study were the retrospective design and the small cohort size.<\/span>\r\n\r\n<b>Conclusion:\u00a0<\/b><span style=\"font-weight: 400;\">This case-series study suggests that deep dermatophytosis is a separate entity, distinct from Majocchi&#8217;s granuloma. It occurs only in immunocompromised patients and is characterized by discrete nodules, an indolent course, the absence of follicular invasion, and proximity to a superficial dermatophyte infection. Systemic antifungal treatment leads to complete resolution. The urgent need for the treatment of superficial fungal infections in immunocompromised patients is emphasized.<\/span>\r\n\r\n<img fetchpriority=\"high\" decoding=\"async\" width=\"727\" height=\"1024\" class=\"wp-image-2018\" src=\"https:\/\/www.oferreiter.com\/wp-content\/uploads\/2023\/08\/44fc9a_c2918903083f47539c16d1c9c53cdedbmv2-727x1024.webp\" alt=\"\" srcset=\"https:\/\/www.oferreiter.com\/wp-content\/uploads\/2023\/08\/44fc9a_c2918903083f47539c16d1c9c53cdedbmv2-727x1024.webp 727w, https:\/\/www.oferreiter.com\/wp-content\/uploads\/2023\/08\/44fc9a_c2918903083f47539c16d1c9c53cdedbmv2-213x300.webp 213w, https:\/\/www.oferreiter.com\/wp-content\/uploads\/2023\/08\/44fc9a_c2918903083f47539c16d1c9c53cdedbmv2-768x1081.webp 768w, https:\/\/www.oferreiter.com\/wp-content\/uploads\/2023\/08\/44fc9a_c2918903083f47539c16d1c9c53cdedbmv2.webp 1086w\" sizes=\"(max-width: 727px) 100vw, 727px\" \/><\/figure>\r\n","protected":false},"excerpt":{"rendered":"<p>Ruben Kershenovich\u00a01,\u00a0Shany Sherman\u00a02,\u00a0Ofer Reiter\u00a01,\u00a0Shiran Reiss Huss\u00a01,\u00a0Elena Didkovsky\u00a03\u00a04,\u00a0Daniel Mimouni\u00a01\u00a04,\u00a0Emmilia Hodak\u00a01\u00a04,\u00a0Rina Segal\u00a01\u00a04<\/p>\n","protected":false},"author":1,"featured_media":2721,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3585","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-published-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Unique Clinicopathological Manifestation of Fungal Infection: A Case Series of Deep Dermatophytosis in Immunosuppressed Patients - \u05d3&quot;\u05e8 \u05e2\u05d5\u05e4\u05e8 \u05e8\u05d9\u05d9\u05d8\u05e8 \u05d0\u05d2\u05e8<\/title>\n<meta name=\"robots\" content=\"index, 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