Quiz
Fungal infections – 12 cases

Fungal infections may be given different names depending on site, causative organism or clinical presentation.

For each of the twelve cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required.

Each case should take approximately 2 minutes to complete. There is a list of suggested further reading material at the end of the quiz.

Case 4

What is this condition called?

Tinea manuum

What is the most likely cause?

Trichophyton erinacei

How would you treat it?

Tinea manuum is often misdiagnosed as hand dermatitis. It tends to be unilateral, with a prominent spreading edge, when due to an acute infection with a zoophilic organism (e.g. T. erinacei from hedgehogs) or geophilic organism (e.g. M. gypseum). However, chronic infection with T. rubrum results in bilateral palmar dryness characterised by accentuated skin markings – the "one-foot two-hand" syndrome. Examine the feet for moccasin tinea pedis.

Topical imidazole may be sufficient for mild infection but systemic medication is often necessary.

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Quiz Fungal infections – 12 cases

Case 4

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Quiz
Fungal infections – 12 cases