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Ecology
Trichophyton
is a
dermatophyte
fungus which is primarily isolated from the soil, humans, or animals. The
genus includes anthropophilic,
geophilic, and
zoophilic species. Certain
Trichophyton species are cosmopolitan while others have a limited
geographic distribution. Trichophyton species that is endemic at
Central America, Pacific Islands and Southeast Asia is T. concentricum.
Species
There are twenty –
two species under genus Trichophyton. Most common are
Trichophyton concentricum, Trichophyton mentagrophytes,
Trichophyton rubrum, Trichophyton schoenleinii, Trichophyton
tonsurans, Trichophyton verrucosum, and Trichophyton
violaceum. Out of the total number of species, eleven are commonly
associated with tinea of the scalp, the nails, and the skin in humans
while only four are often isolated from animals.
Table 1. Natural Habitats of Trichophyton Species
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Trichophyton
Species |
Reservoir |
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Trichophyton ajelloi |
geophilic |
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Trichophyton concentricum |
anthropophilic |
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Trichophyton equinum |
zoophilic (horse) |
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Trichophyton erinacei |
zoophilic (hedgehog) |
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Trichophyton flavescens |
geophilic (feathers) |
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Trichophyton gloriae |
geophilic (feathers) |
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Trichophyton interdigitale |
anthropophilic |
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Trichophyton megnini |
anthropophilic |
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Trichophyton mentagrophytes |
zoophilic (rodents, rabbit) / anthropophilic |
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Trichophyton phaseoliforme |
geophilic |
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Trichophyton rubrum |
anthropophilic |
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Trichophyton schoenleinii |
anthropophilic |
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Trichophyton simii |
zoophilic (monkey, fowl) |
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Trichophyton soudanense |
anthropophilic |
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Trichophyton terrestre |
geophilic |
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Trichophyton tonsurans |
anthropophilic |
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Trichophyton vanbreuseghemii |
geophilic |
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Trichophyton verrucosum |
zoophilic (cattle, horse) |
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Trichophyton violaceum |
anthropophilic |
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Trichophyton yaoundei |
anthropophilic |
Pathogenicity and Health Effects
Trichophyton
is a keratinophilic filamentous fungus which has the ability to invade
keratinized tissues thus; it is considered as one of the leading causes of
hair, skin, and nail infections in humans. Possession of several enzymes,
such as acid proteinases, elastase, keratinases, and other proteinases are
the major virulence factors of Trichophyton species.
Out of the total
number of species, eleven are commonly associated with
tinea of the scalp,
the nails, and the skin in humans while only four are often isolated from
animals. Additionally, Trichophyton species may cause invasive
infections in immunocompromised patients. Trichophyton rubrum is
the commonest causative agent of dermatophytoses worldwide.
Most of the
Trichophyton species have teleomorphic forms and these teleomorphs are
classified under genus Arthroderma.
Macroscopic Appearance
Ø
Growth rate may range from being slow to moderately rapid, and colonies
are waxy, glabrous, downy to cottony; and
Ø
Surface colony color ranges from white to bright yellowish beige or red
violet and the reverse may be pale, yellowish, brown, or red – brown.
Microscopic Appearance
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Hyaline,
septate hyphae, microconidia, macroconidia, and conidiophores, and
arthroconidia are present, chlamydospores may also be produced;
Ø
Conidiophores
are little differentiated from vegetative hyphae;
Ø
Microconidia
are unicellular, round - to pyriform – shaped, numerously present, may be
solitary or arranged in grape – like clusters;
Ø
Macroconidia
are multicellular (with two or more cells), may either be smooth -, thin
-, or thick – walled, cylindrical, club – shaped, or cigar – shaped, and
are often absent; and
Ø
Several species are typically sterile; however, sporulation may be induced
with the use of an appropriate media.
Laboratory Precautions
General laboratory
precautions are required, no special safety measures needed.
Susceptibility
Generally,
amorolfine, clotrimazole, itraconazole, ketoconazole, naftifine, and
terbinafine are general active in vitro against Trichophyton
species. Terbinafine usually shows to be the most effective agent.
Isolates of Trichophyton rubrum are more vulnerable to antifungal
agents compared to Trichophyton mentagrophytes. Also active in
vitro against Trichophyton species are the azole derivatives,
Syn 2869, Syn2836, Syn2903, and Syn2921.
Terbinafine and
itraconazole are commonly used now in treatment of infections caused by
Trichophyton species compared to griseofulvin which is once the drug
of choice for dermatophytosis treatment; however, due to the availability
of more effective and less toxic drugs griseofulvin is now less commonly
used. Oral therapy is usually preferred for treatment of tinea capitis
and onychomycosis.
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