Advertisement

Current Infectious Disease Reports

, Volume 2, Issue 5, pp 433–437 | Cite as

From animal to man: Tinea barbae

  • Gregory W. Rutecki
  • Rebecca Wurtz
  • Richard B. Thomson
Article

Abstract

Dermatophytic fungi cause human infection worldwide. One clinical syndrome—tinea barbae, which closely resembles tinea capitis—is a trichophytosis involving the beard and mustache areas of the face. The fungal agents responsible for tinea barbae (Trichophyton verrucosum and Trichophyton mentagrophytes) are contracted through occupational exposure to animals infected with zoophilic dermatophytes. Tinea barbae may be confused with other facial infections, especially those caused by Staphylococcus aureus or other facial dermatophytes (usually anthrophilic). In an afebrile patient without leucocytosis, a distinctive facial lesion, called a kerion, can be the essential diagnostic finding. Diagnosis requires suspicion based on appropriate exposure. Definitive diagnosis requires a combination of clinical examination, direct microscopic examination using potassium hydroxide, and culture confirmation. Topical treatment is not effective. Oral therapy with an antifungal (eg, terbinafine) or an azole is recommended. This article reviews these factors, as well as germane epidemiologic and prevention measures.

Keywords

Terbinafine Dermatophytosis Tinea Capitis Tinea Pedis Sporotrichosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References and Recommended Reading

  1. 1.
    Drake LA, Dinehart SM, Farmer ER, et al.: Guidelines of Care for Superficial Mycotic Infections of the Skin: Tinea Corporis, Tinea Cruris, Tinea Faciei, Tinea Manuum and Tinea Pedis. J Guidelines/Outcomes Committee. American Academy of Dermatology. J Am Acad Dermatol 1996, 34(Pt 1):282–286.PubMedCrossRefGoogle Scholar
  2. 2.
    Weitzman I, Summerbell RC. The dermatophytes. Clin Microbiol Rev 1995, 8:240–259.PubMedGoogle Scholar
  3. 3.
    Noble SC, Forbes RC, Stamm PL: Diagnosis and Management of Common Tinea Infections. Am Fam Physician 1998, 58:163–174.PubMedGoogle Scholar
  4. 4.
    Sabota J, Brodell R, Rutecki G, Hoppes WL: Severe Tinea Barbae due to Trichophyton verrucosum Infection in Dairy Farmers. Clin Infect Dis 1996, 23:1308–1310. These authors highlight the essentials of tinea barbae, focusing on occupational exposure, inapparent infection of cows, severe unilateral facial involvement among dairy farmers, and mistaken initial diagnosis.PubMedGoogle Scholar
  5. 5.
    Hasegawa A: Dermatophytes from animals. Nippon Ishinkin Gakkar Zasshi 2000, 41:1–4.CrossRefGoogle Scholar
  6. 6.
    Glaser DA, Riordan AT: Images in clinical medicine. Tinea barbae: man and beast. N Engl J Med 1998, 338:735.PubMedCrossRefGoogle Scholar
  7. 7.
    Kick G, Korting HC: Tinea barbae due to Trichophyton mentagrophytes related to persistent child infection. Mycoses 1998, 41:439–441.PubMedGoogle Scholar
  8. 8.
    Zienicke H, Korting HC, Dzaika V, et al.: Dermatomycosis caused by Trichophyton verrucosum in mother and child. Hautaszt 1998, 49:576–580.Google Scholar
  9. 9.
    Zienicke H, Korting HC: Intrafamilial transmission of Trichophyton verrucosum to a newborn. Mycoses 1989, 32:411–415.PubMedCrossRefGoogle Scholar
  10. 10.
    Alteras I, Feuerman EJ, Grunwald M, Shvili D: Tinea capitis due to Microsporum canis in infants. Mycopathologia. 1984, 86:89–91.PubMedCrossRefGoogle Scholar
  11. 11.
    Barriere H, Litoux P, Morin O, Geraut C: Suppurative trichophytosis of animal origin. Apropos of 38 recent cases [in French]. Sem Hop 1975, 51:539–548.PubMedGoogle Scholar
  12. 12.
    Maraki S, Tselentis Y: Dermatophytoses in Crete, Greece between 1992–96. Mycoses 1998, 41:175–178.PubMedGoogle Scholar
  13. 13.
    Borgo G, Sivolelia S: Description of a severe and rare case of tinea barbae in the mental region. Minerva. Stomatol. 1999, 48:289–294.PubMedGoogle Scholar
  14. 14.
    Simaljakova M, Skutiloua E: Mycotic infections in childhood [in Slovene]. Bratisl Lek Listy 1995, 96:122–126.PubMedGoogle Scholar
  15. 15.
    Pereiro Miguens M, Pereiro M, Pereiro M Jr: Review of dermatophytoses in Galicia from 1951–1987 and comparison with other areas of Spain. Mycopathologia 1991, 113:65–78.PubMedCrossRefGoogle Scholar
  16. 16.
    Fortuno B, Torres L, Simal E, et al.: Dermatophytes isolated in our clinics. 5 year study in Zaragoza. Enferm Infecc Microbiol Clin 1997, 15:536–539.PubMedGoogle Scholar
  17. 17.
    Khosravi AR, Aghamirian MR, Mahmoudi M: Dermatophytoses in Iran. Mycoses 1994, 37:43–48.PubMedGoogle Scholar
  18. 18.
    Elewsk BE, Hazen PG. The superficial mycoses and dermatophytes. J Am Acad Dermatol 1989, 21:655–673.Google Scholar
  19. 19.
    Wabacha JK, Gitau GK, Bebora LC, et al.: Occurrence of dermatomycosis (ringworm) due to Trichophyton verrucosum in dairy calves and its spread to animal attendants. J S Afr Vet Assoc 1998, 69:172–173.PubMedGoogle Scholar
  20. 20.
    Martin AG, Kobayashi GS: Fungal diseases with cutaneous involvement. In Dermatology in General Medicine. Edited by Fitzpatrick TB, Eisen AZ, Wolff K, et al. New York: McGraw-Hill; 1993:2421–2451.Google Scholar
  21. 21.
    Honig PJ, Caputo GL, Lehden JJ, et al.: Microbiology of kerions. J Pediatr 1993, 123:422–424.PubMedCrossRefGoogle Scholar
  22. 22.
    Bart BJ: Annular skin eruptions. Postgrad Med 1994, 96:37–50.PubMedGoogle Scholar
  23. 23.
    Kapdagli H, Ozturk G, Dereli T, et al.: Candida folliculitis mimicking tinea barbae. Int. J. Dermatol 1997, 36:295–297.PubMedCrossRefGoogle Scholar
  24. 24.
    Tanuma H, Doi M, Nishiyama S, Katsuoka K: A case of tinea barbae successfully treated with Terbinafine. Mycoses 1998, 41:77–81.PubMedGoogle Scholar
  25. 25.
    Moretti A, Boncio L, Pasquali P, Piergili-Fioretti D: Epidemiological aspects of dermatophyte infections in horses and cattle. Zentralbl Veterinarmed (B) 1998, 45(4):205–208.Google Scholar
  26. 26.
    Dixon DM, Casadevall A, Klein B, et al.: Development of vaccines and their use in the prevention of fungal infections. Med Mycol 1998, 36(Suppl 1):57–67.PubMedGoogle Scholar
  27. 27.
    Rybnikar A, Vrzal V, Chumela J: Protective efficacy of vaccines against bovine dermatophytosis after double and single vaccination. Mycoses 1998, 41:83–86. These authors describe what may be the future of tinea barbae prevention—potential vaccination of target zoophilic sources, particularly dairy cattle and horses.PubMedCrossRefGoogle Scholar

Copyright information

© Current Science Inc 2000

Authors and Affiliations

  • Gregory W. Rutecki
    • 1
  • Rebecca Wurtz
    • 1
  • Richard B. Thomson
    • 1
  1. 1.Departments of Medicine and PathologyEvanston HospitalEvanstonUSA

Personalised recommendations