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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
Page reviewed: June 20, 2023
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