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Mould Identification: A Virtual Self Assessment

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Unknown 79 = Trichophyton equinum

Case History
A 42 year male stable hand presented with a scaly erythematous lesion on the wrist.. Skin scales were collected for microscopy and culture. 
Clinical Presentation


Granulomatous lesion with a crusting border of two years duration on the wrist of a male stable hand caused by T. equinum.
Culture

Ccolonies are usually flat, but some may develop gentle folds or radial grooves, white to buff in colour, suede-like to downy in texture, and are similar to T. mentagrophytes. Cultures usually have a deep-yellow submerged fringe and reverse which later becomes dark red in the centre.
Microscopy

Microscopically, abundant microconidia which may be clavate to pyriform and sessile or spherical and stalked are formed laterally along the hyphae. Macroconidia are only rarely produced, but when present are clavate, smooth, thin-walled and of variable size. Occasional nodular organs may be present and the microconidia often undergo a transformation to produce abundant chlamydoconidia in old cultures.  RG-2 organism.

Comment:
Trichophyton equinum is a zoophilic fungus causing ringworm in horses and rare infections in humans. It is of world-wide distribution except for. var. autotrophicum which is restricted to Australia and New Zealand. Most strains require nicotinic acid for growth except those from Australia and New Zealand, which are autotrophic (var. autotrophicum). Invaded hairs show an ectothrix infection but do not fluoresce under Wood's ultra-violet light.

Key Features: Culture characteristics, microscopic morphology and contact with horses.

About Trichophyton equinum Back to Virtual Assessment

What is your identification?

Trichosporum mentagrophytes
Trichophyton equinum
Trichophyton verrucosum

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Dr David Ellis
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