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Mould Identification: A Virtual Self Assessment

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Unknown 70 = Trichophyton quinckeanum

Case History
A 8 year boy presented with a scaly erythematous lesion on the arm showing numerous thick saucer-shaped scutula. Skin scales were collected for microscopy and culture.
Clinical Presentation

Human (top) and mouse (bottom) favus showing thick saucer-shaped scutula caused by T. quinckeanum

Culture

Cultures of T. quinckeanum are white, downy and dome-shaped when young; becoming heaped, folded and powdery due to the production of numerous microconidia with age.  Reverse pigmentation is usually yellow-brown in colour.
Microscopy

Microscopic morphology of T. quinckeanum showing numerous microconidia, which are predominantly slender, clavate when young and borne laterally along the sides of the hyphae.  With age the microconidia become broader and pyriform with some subspherical forms.  Occasional to moderate numbers of smooth-walled, multiseptate, clavate macroconidia may be present in young cultures. RG-2 organism.
Comment: T. quinckeanum is a zoophilic dermatophyte and the cause of "mouse favus" seen on mice as thick saucer-shaped yellow crusted lesions called scutula.  Infections in humans are usually inflammatory and sometimes produce scutula.  Invaded hairs are rarely seen but they may show either ectothrix or endothrix infection.  Infected human hairs do not fluoresce under Wood's ultra-violet light, but very occasional hairs from experimental lesions in guinea pigs may show a pale yellow fluorescence.
Distribution: Difficult to establish but probably world-wide.  Often associated with mice plagues in the Australian Wheat Belt.
Key Features: Culture characteristics, microscopic morphology, contact with mice, odour and rapid urease test.

About Trichophyton quinckeanum Back to Virtual Assessment

What is your identification?

Trichosporum mentagrophytes
Trichophyton quinckeanum
Trichophyton erinacei

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