Abstract
Background
Onychomycosis affects up to 50% of patients in the older population.
Objectives
This study aimed to explore heat sensitivity of Trichophyton rubrum and Trichophyton interdigitale as pathogens of onychomycosis.
Materials & Methods
The fungi were heated in sterile saline solution up to 100°C for five or 10 minutes with or without additional previous treatment with 1% ciclopirox solution or chitinase and 1,3 β-galactidase or for 45 minutes at 40°C or 60°C with washing powder. Subsequently, the fungi were cultured and regrowth was assessed after one week.
Results
After heating T. rubrum for five minutes at 60°C, growth was completely inhibited. After heating T. interdigitale for five minutes at 60°C, all of the samples regrew, and at 95°C, none of the samples regrew. No difference between five and 10-minute heating was observed. Previous incubation with 1% ciclopirox solution for 24 hours inhibited the growth of T. rubrum completely. T. interdigitale was still able to regrow to 100% after five minutes at 40°C, to 33% after 60°C, and to 22% after 80°C. Incubation for 45 minutes with washing powder solution at 40°C or 60°C did not lead to significant growth reduction of T. rubrum or interdigitale. Two hours incubation with β-1,3-glucanase and chitinase prior to five minutes of heating to 60°C and 80°C reduced the heat resistance of T. interdigitale; growth was inhibited in 56% and 100% of the samples, respectively.
Conclusion
The heat resistance of T. rubrum and interdigitale should be considered using non-medical thermal treatment.
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Acknowledgements
We thank the Society for advancement in science and research at the medical faculty of Ludwig Maximilian University for financially supporting this research.
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Seidel, K., Tietze, L.F., Braun, C. et al. Evaluation of the heat sensitivity of Trichophyton rubrum and Trichophyton interdigitale. Eur J Dermatol 33, 19–24 (2023). https://doi.org/10.1684/ejd.2023.4406
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DOI: https://doi.org/10.1684/ejd.2023.4406