Potential Sexual Transmission of Antifungal-Resistant Trichophyton indotineae
Stephanie Spivack, Jeremy A.W. Gold, Shawn R. Lockhart, Priyanka Anand, Laura A.S. Quilter, Dallas J. Smith, Briana Bowen, Jane M. Gould, Ahmed Eltokhy, Ahmed Gamal, Mauricio Retuerto, Thomas S. McCormick, and Mahmoud A. Ghannoum
Author affiliations: Temple University Hospital Section of Infectious Diseases, Philadelphia, Pennsylvania, USA (S. Spivack); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.A.W. Gold, S.R. Lockhart, P. Anand, L.A.S. Quilter, D.J. Smith); Department of Public Health, Philadelphia (B. Bowen, J.M. Gould); Center for Medical Mycology, Case Western Reserve University and University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA (A. Eltokhy, A. Gamal, M. Retuerto, T.S. McCormick, M.A. Ghannoum)
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Figure
Figure. Results of gross and microscopic morphology and microbiological laboratory testing to identify Trichophyton indotineae in a woman in Pennsylvania, USA. A, B) Colonies were velvety white, flat, and had a raised center (arrow) (A) and a light yellow pigment on reverse (B). C) Numerous microconidia showed the pyriform and clavate forms (black arrow) and fungal hyphae with septation (blue arrows). Original magnification ×40. D) In vitro hair perforation test was positive (arrow). Original magnification ×100. E) T. indotineae had a negative urease test (yellowish color), while the positive control, Trichophyton tonsurans, was pinkish.
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