Microsporum audouinii

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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Gruby, 1843

General definition
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Anthropophilic dermatophyte. In Europe M. audouinii has largely lost its importance. In the past, M. audouinii was clinically and epidemiologically significant as a pathogen of the "orphanage disease" or "microspore of children's heads". Spontaneous remission sometimes occurs only during puberty.

Cultivation: Especially good from infected hairs.

Occurrence/Epidemiology
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Especially in children, mostly in smaller epidemics. More common in Africa and Asia.

Manifestation
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Predilection sites: Capillitium in children.

Clinical picture
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  • Tinea capitis, microspores, tinea. Infestation of the hair, usually retroauricular, starting in the neck or at the back of the head.
  • Infestation of the hair at the follicle orifice, downward growth of the mycelium in the hair to the keratinogenic zone and formation of a mosaic-like mantle of spores around the hair. Loss of elasticity and breakage of the hair.

Microscopy
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  • Comb hyphae, tennis racket hyphae, match hyphae.
  • Microconidia: Rare, pear-shaped, single-chambered, lateral to the hyphae.
  • Macroconidia: Rare, poorly developed, thick-walled, smooth-walled, irregular spindle shape with constrictions and sickle-shaped curves, length: 30-90 μm, width: 8-20 μm, 2-8 chambers.
  • Chlamydospores: More often terminal than intercalated.

Literature
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  1. Elewski BE (2000) Tinea capitis: a current perspective. J Am Acad Dermatol 42: 1-20
  2. Hay RJ et al (2001) Tinea capitis in Europe: new perspective on an old problem. J Eur Acad Dermatol Venereol 15: 229-233
  3. Gilaberte Y et al (2003) Tinea capitis in a newborn infected by Microsporum audouinii in Spain. J Eur Acad Dermatol Venereol 17: 239-240
  4. Gupta AK, Summerbell RC (2000) Tinea capitis. Med Mycol 38: 255-287
  5. Larone DH (1995) in: Medically Important Fungi - A Guide to Identification, 3rd ed. ASM Press (Washington, D.C.)
  6. St-Germain G et al (1996) in: Identifying Filamentous Fungi - A Clinical Laboratory Handbook, 1st ed. Star Publishing Company (Belmont, California)
  7. Sutton DAAW et al (1998) in: Guide to Clinically Significant Fungi. 1st ed. Williams & Wilkins (Baltimore)

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Last updated on: 29.10.2020