Emerging Dermatophytes
Dermatophytes are fungi that are adapted to colonize and degrade keratin, leading to infection of the skin, nails and hair. Dermatophytes comprise species belonging to the Trichophyton, Epidermophyton, Microsporum, and Nannizzia genera, among others, with Trichophyton rubrum and Trichophyton interdigitale currently recognized as the most common globally. Over the past decade there has been an increase in reporting of terbinafine resistant dermatophytes, including T. rubrum, T. interdigitale, and now the emergence and global expansion of a newly designated species, Trichophyton indotineae, which is associated with severe recalcitrant infections. In addition, one genotype of T. mentagrophytes (genotype VII) is emerging with transmission predominantly via sexual activity. In this presentation, I will discuss the current state of diagnostics, epidemiology, resistance and treatment.
