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할머니와 손녀에서 발생한 Microsporum canis에 의한 체부백선

Simultaneous Occurrence of Tinea corporis Caused by Microsporum canis in a Grandmother and a Granddaughter

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초록

Microsporum (M.) canis is one of the zoophilic dermatophytes which can cause ringworm in catsand dogs and is responsible for 3~30% of tinea corporis and tinea capitis in human. It is most likelytransmitted by contact with infected animals, but rare cases of person-to-person transmission and anoutbreak among school girls have also been reported. Herein we report on interesting cases of tineacorporis caused by M. canis in a grandmother and a granddaughter. A 63-year-old woman presented withpruritic, scaly, erythematous plaques on the post. neck and trunk which had started 2 months ago. Alsoher 9-year-old granddaughter presented with pruritic, annular, erythematous plaques on chest and backfor 7 days. They denied contact with animals. KOH smear showed several hyphaes on microscope. Fungus culture on potato dextrose agar showed growth of colonies with whitish fluffy surface and radialfolds, the dorsal surface of the colonies showed golden-brown color which were identified as M. canisin both patients. As for the grandmother the lesions improved with oral itraconazole 200 mg/day for 7days and topical antifungal cream for 5 weeks which resulted in marked improvement of the lesions.

Abstract

Microsporum (M.) canis is one of the zoophilic dermatophytes which can cause ringworm in catsand dogs and is responsible for 3~30% of tinea corporis and tinea capitis in human. It is most likelytransmitted by contact with infected animals, but rare cases of person-to-person transmission and anoutbreak among school girls have also been reported. Herein we report on interesting cases of tineacorporis caused by M. canis in a grandmother and a granddaughter. A 63-year-old woman presented withpruritic, scaly, erythematous plaques on the post. neck and trunk which had started 2 months ago. Alsoher 9-year-old granddaughter presented with pruritic, annular, erythematous plaques on chest and backfor 7 days. They denied contact with animals. KOH smear showed several hyphaes on microscope. Fungus culture on potato dextrose agar showed growth of colonies with whitish fluffy surface and radialfolds, the dorsal surface of the colonies showed golden-brown color which were identified as M. canisin both patients. As for the grandmother the lesions improved with oral itraconazole 200 mg/day for 7days and topical antifungal cream for 5 weeks which resulted in marked improvement of the lesions.

참고문헌 (13)

  1. 권준일, "보육원에서 발생한 Microsporum canis 집단 감염", 대한피부과학회지, 48(12), pp.1086~1090 (2010), 대한피부과학회
  2. Lee JH, "Microsporum canis infections transmitted from a tiger in a group", Korean J Dermatol, 38, pp.553~556 (2000)
  3. 김수호, "햄스터에서 전염된 것으로 생각되는 Microsporum canis 에 의한 백선종창 1예", 대한의진균학회지, 14(1), pp.23~27 (2009), 대한의진균학회
  4. Oh SH, "Distribution of causative fungi in home environment of patients with tinea capitis caused bu Microsporum canis", Korean J Dermatol, 28, pp.165~173 (1990)
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  7. Snider R, "The ringworm riddle:an outbreak of Microsporum canis in the nursery", Pediatr Infect Dis J, 12, pp.145~148 (1993)
  8. Lee WJ, "Decreasing prevalence of Microsporum canis infection in Korea: through analysis of 944 cases (1993-2009) and review of our previous data (1975-1992)", Mycopathologia, 173, pp.235~239 (2012)
  9. Kim HU, "A case of tinea unguium caused by Microsporum canis", Kor J Med Mycol, 3, pp.49~52 (1998)
  10. 황성민, "Microsporum canis 에 의한 건선양 몸백선 1예", 대한의진균학회지, 15(4), pp.165~169 (2010), 대한의진균학회
  11. 이양원, "동물접촉에 의한 피부 진균증의 임상 및 진균학적 고찰", 대한의진균학회지, 10(4), pp.151~159 (2005), 대한의진균학회
  12. Lim HS, "A case of tinea capitis developed in sisters", Kor J Med Mycol, 2, pp.178~181 (1997)
  13. Schieke SM, "Fitzpatrick's dermatology in general medicine", pp.2293~2295 (2012), MCGraw-Hill

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