Mesh : Male Young Adult Humans Female Adult Antifungal Agents / therapeutic use Trichophyton Tinea / diagnosis drug therapy Terbinafine / therapeutic use

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Abstract:
Tinea genitalis is a relatively new entity of dermatophyte infection, observed mainly in young adults. By definition, it is localized on the mons pubis and on the labia in women, and on the penile shaft in men. It has been described as a \"lifestyle disease\" and potentially sexually transmitted disease. We report the case of a 35-year-old patient, an immigrant woman, with tinea genitalis profunda, presenting with painful deep infiltrative papules and plaques, purulent inflammation, and signs of secondary impetiginization. Concomitantly, tinea corporis, tinea faciei, tinea colli, and tinea capitis were diagnosed. Her skin lesions developed over an approximately 2-month period. The zoophilic dermatophyte Trichophyton mentagrophytes was cultivated from the pubogenital lesions, as well as Escherichia coli and Klebsiella pneumoniae. The patient was treated systemically with terbinafine, antibiotics, and short-term corticosteroid, and topically with antimycotic and antibiotic cream. During almost 3 weeks of hospitalization, satisfactory improvement was achieved. A literature review with new clinical and epidemiological observations is presented for this rare type of tinea, which poses a diagnostic and treatment challenge.
摘要:
生殖器癣是一种相对较新的皮肤癣菌感染实体,主要在年轻人中观察到。根据定义,它位于女性的阴唇和阴唇上,在男性的阴茎轴上。它被描述为“生活方式疾病”和潜在的性传播疾病。我们报道了一个35岁的病人,一个移民女人,生殖器深度癣,出现疼痛的深层浸润丘疹和斑块,脓性炎症,和继发性梗阻的迹象。同时,体癣,面癣,股癣,并诊断为头癣。她的皮肤损伤在大约2个月的时间内发展。从pu生殖器病变中培养了嗜人皮肤癣菌毛癣菌,以及大肠杆菌和肺炎克雷伯菌。患者接受了特比萘芬的全身治疗,抗生素,短期皮质类固醇,局部用抗真菌剂和抗生素霜。在近3周的住院期间,取得了令人满意的改善。针对这种罕见的癣,提出了具有新的临床和流行病学观察的文献综述,这对诊断和治疗提出了挑战。
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