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Volume 29, Number 7—July 2023
Dispatch

Sexually Transmitted Trichophyton mentagrophytes Genotype VII Infection among Men Who Have Sex with Men

Arnaud JabetComments to Author , Sarah Dellière, Sophie Seang, Aziza Chermak, Luminita Schneider, Thibault Chiarabini, Alexandre Teboul, Geoffroy Hickman, Alizée Bozonnat, Cécile Brin, Marion Favier, Yanis Tamzali, François Chasset, Stéphane Barete, Samia Hamane, Mazzouz Benderdouche, Alicia Moreno-Sabater, Eric Dannaoui, Christophe Hennequin, Arnaud Fekkar, Renaud Piarroux, Anne-Cécile Normand, and Gentiane Monsel
Author affiliations: Assistance Publique-Hôpitaux de Paris, Paris, France (A. Jabet, S. Dellière, S. Seang, A. Chermak, L. Schneider, T. Chiarabini, A. Teboul, G. Hickman, A. Bozonnat, C. Brin, M. Favier, Y. Tamzali, F. Chasset, S. Barete, S. Hamane, M. Benderdouche, A. Moreno-Sabater, E. Dannaoui, C. Hennequin, A. Fekkar, R. Piarroux, A.-C. Normand, G. Monsel); Université de Paris, Paris, France (S. Dellière, E. Dannaoui); Sorbonne Université, Paris, France (F. Chasset, A. Moreno-Sabater, C, Hennequin, A. Fekkar, R. Piarroux)

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Table 1

Main epidemiologic and clinical features of 13 cases of Trichophyton mentagrophytes genotype VII infections diagnosed in Paris, France, 2021–2022*

Pt no. Age, y HIV+ PrEP STI
history		 Travel Tinea
genitalis		 Tinea
glutealis		 Tinea corporis Tinea faciei/barbae Prior treatment T. mentagrophytes treatment
1†
 45
 No
 Yes
 Ng, Ct, Mg
 No
 No
 Yes
 Yes
 Yes
 No
 TRB 1 mo
2
 34
 No
 Yes
 Ng
 EE
 No
 Yes
 Yes
 Yes
 ECZ, TS
 TRB 5 d, then ITR 200 mg 1 mo, then ITR 100 mg 1 mo
3
 28
 No
 No
 ND
 ND
 Yes
 No
 Yes
 No
 No
 TRB 4 mo + BFZ 1 mo
4
 59
 Yes
 NA
 Ng, Ct, Mg, Tp, HCV
 No
 Yes
 Yes
 Yes
 Yes
 No
 TRB 2 mo + ECZ
5‡
 39
 Yes
 NA
 Tp
 ND
 Yes
 Yes
 Yes
 Yes
 No
 TRB + CPX 3 wk
6‡
 41
 Yes
 NA
 Tp
 ND
 No
 Yes
 Yes
 Yes
 No
 TRB + CPX 3 wk
7
 40
 No
 Yes
 Ng, Ct, Tp
 No
 No
 No
 No
 Yes
 PRI + MPC
 TRB 6 wk
8
 48
 Yes
 NA
 Ng, Ct, Tp, Ss
 No
 No
 No
 Yes
 No
 No
 CPX 4 wk
9‡
 26
 Yes
 NA
 Ng, Ct, Tp
 ND
 Yes
 Yes
 Yes
 No
 No
 ECZ 6 wk
10‡§
 35
 No
 Yes
 Tp
 ND
 No
 No
 Yes
 No
 No
 ECZ 6 wk
11§
 22
 No
 Yes
 Ng, Ct, Tp
 DE
 No
 Yes
 Yes
 Yes
 AMX then
FLC
 TRB 4 wk
12
 35
 Yes
 NA
 Ng,Tp
 IN
 No
 No
 Yes
 No
 TS then CPX
 BFZ 4 wk
13 46 Yes NA Ng, Ct, Tp, Ss ES No No No Yes FCD + TS
then FCD
alone then
PRI then AMX/CLAV		 ITR 100 mg 2 d, then IV VRC 10 d, then TRB

*AMX, amoxicillin; BFZ, bifonazole; CLAV, clavulanic acid; CPX, ciclopirox olamine; Ct, Chlamydia trachomatis; DE, German; ECZ, econazole; EE, Estonia; ES, Spain; FCD, fucidin; FLC, fluconazole; HCV, hepatitis C virus; IN, India; ITR, itraconazole; Mg, Mycoplama genitalium; MPC, mupirocin; NA, not applicable; ND, no data; Ng; Neisseria gonorrheae; PrEP, pre-exposure prophylaxis; PRI, pristinamycin; Pt, patient; Ss, Sarcoptes scabiei; Tp, Treponema pallidum; TRB, oral terbinafine (250 mg 1×/d); TS, topical steroids; VRC, voriconazole. †Patient 1 strain was included in a previous survey (11). ‡Patients 5 and 6 and patients 9 and 10 were partners. §Patients 10 and 11 were co-infected with monkeypox virus.

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References
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Page updated: June 20, 2023
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