Tinea gladiatorum due to Trichophyton tonsurans in a school wrestling team in Mexico: A case series

  • Alexandro Bonifaz Dermatology Service, Department of Mycology, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City, Mexico
  • Javier Araiza Dermatology Service, Department of Mycology, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City, Mexico
  • Andrés Tirado-Sánchez Dermatology Service, Department of Mycology, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City, Mexico
  • Adriana Barbosa-Zamora Dermatology Service, Department of Mycology, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City, Mexico
  • Alexander Gómez-Sáenz Dermatology Service, Department of Mycology, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City, Mexico
  • Andrea Méndez-Juárez Department of Internal Medicine, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City, Mexico
Keywords: Healthy carrier Tinea corporis Tinea gladiatorum Trichophyton tonsurans Wrestlers

Abstract

Background and Purpose: Tinea gladiatorum is a type of dermatophytosis that occurs in combat athletes, such as wrestlers and judo fighters, as a result of Trichophyton species. Herein, we aimed to present a small outbreak of tinea gladiatorum in a high school in Mexico.


Materials and Methods: Seven individuals belonging to the school fighting team were mycologically studied with direct examinations and cultures. In four cases, T. tonsurans was isolated and identified by morphological and proteomic methods (Matrix-assisted laser desorption/ionization- time-of-flight mass spectrometry). Out of the four subjects, two cases had clinical lesions presented as tinea corporis, and two cases were healthy carriers. Trichophyton tonsurans was also isolated from one of the four training mats (25%). All positive patients were treated with systemic or topical antifungals and achieved clinical and mycological cure.


Conclusion: We report the first outbreak of tinea gladiatorum caused by T. tonsurans among a group of high school wrestlers in Mexico.

Published
2021-02-20
Section
Articles