Medical University of Plovdiv, Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2021 Apr 30;63(2):292-296. doi: 10.3897/folmed.63.e54559.
Tinea barbae profunda is a rare mycotic infection of the beard, caused by dermatophytic fungi. Patients with suppressed immune systems and severe comorbidities, such as diabetes mellitus, are more prone to this disease, but it could also be seen in agricultural workers and stockbreeders. The most frequent etiological agents of this infection are the zoophilic dermatophytes. But in rare cases, an infection with anthropophilic dermatophytes as Trichophyton rubrum can be observed.We present a case of a 55-year-old patient with insulin-dependent diabetes mellitus and tinea barbae profunda, caused by Trichophyton rubrum, as a consequence of autoinoculation from concomitant Tinea pedis. The patient was treated with oral antibiotics before admission to the clinic, but with no effect due to incorrect diagnosis and lack of mycological laboratory investigations. A satisfactory therapeutic outcome was achieved after a two-month course with antimycotic medications.
深部须癣是一种罕见的真菌性胡须感染,由皮肤真菌引起。免疫系统受到抑制和患有严重合并症(如糖尿病)的患者更容易患上这种疾病,但农业工作者和饲养员也可能患上这种疾病。这种感染最常见的病原体是亲动物性的皮肤真菌。但在极少数情况下,也可能观察到由亲人性皮肤真菌(如红色毛癣菌)引起的感染。我们报告了一例 55 岁的胰岛素依赖型糖尿病患者,患有由红色毛癣菌引起的深部须癣,这是由于同时患有足癣的自身接种所致。该患者在就诊前曾接受过口服抗生素治疗,但由于诊断错误和缺乏真菌学实验室检查,治疗无效。经过两个月的抗真菌药物治疗,取得了满意的治疗效果。