Dipartimento di Scienze Veterinarie, Università di Pisa, Viale delle Piagge 2, 4 Pisa, Italy.
J Mycol Med. 2013 Sep;23(3):164-7. doi: 10.1016/j.mycmed.2013.05.005. Epub 2013 Jul 1.
Microsporum gypseum is a common inhabitant of the soil, occasionally responsible for human and animal ringworm. Few reports describe the treatment of dermatologic diseases due to M. gypseum. The objective of this study was to evaluate retrospectively cases of M. gypseum infection in dogs and cats.
The occurrence of infection by this dermatophyte was retrospectively evaluated in dermatological specimens from 15,684 dogs and cats dermatologically diseased from Italy. Clinical outcome after treatment with griseofulvin combined with topical enilconazole was evaluated in 41 dogs and, out of label, 10 cats. Furthermore, in vitro susceptibility to griseofulvin and enilconazole was evaluated on 31 clinical isolates of M. gypseum.
One hundred and eighty-five specimens out of 15,684 (1.1%) scored positive for M. gypseum. The treatment failed to achieve both mycological and clinical cure in 16 dogs (39%) and four cats (40%), as well as fungal isolates demonstrated a very poor in vitro sensitivity when tested versus griseofulvin: the MIC value was 150 μg/mL. The ED50 value was calculated at 66 μg/mL.
Blind treatments with griseofulvin in ringworm due to M. gypseum should be avoided.
石膏样小孢子菌是土壤中的常见寄居者,偶尔会导致人类和动物的癣病。很少有报道描述因石膏样小孢子菌引起的皮肤病的治疗方法。本研究的目的是回顾性评估犬猫石膏样小孢子菌感染病例。
回顾性评估了来自意大利的 15684 例患有皮肤病的犬猫的皮肤科标本中这种皮肤真菌的感染情况。对 41 只犬在使用灰黄霉素联合外用恩康唑治疗后的临床结果进行了评估,另外有 10 只猫在标签外使用了该药物。此外,还对 31 株临床分离的石膏样小孢子菌进行了灰黄霉素和恩康唑的体外药敏试验。
在 15684 个标本中,有 185 个(1.1%)标本对石膏样小孢子菌呈阳性。16 只犬(39%)和 4 只猫(40%)的治疗未能达到真菌学和临床治愈,并且真菌分离株对灰黄霉素的体外敏感性很差:MIC 值为 150μg/mL。ED50 值计算为 66μg/mL。
应避免盲目使用灰黄霉素治疗石膏样小孢子菌引起的癣病。