Key Words: dermatomycoses, hortaea werneckii, tinea, autochthonous transmission
Abstract
Tinea nigra is an infrequent superficial mycosis caused by the dematiaceous fungus Hortaea werneckii. It usually occurs in tropical coastal areas, with very few reports in South American countries with temperate climates, generally corresponding to infections imported by travelers. We present the case of a Chilean adult patient, with no previous history of recent trips, with clinical and microbiological background consistent with palmar tinea nigra, treated with oral itraconazole and topical sertaconazole with a favorable response. This article is the first case reported in Chile, of autochthonous origin.
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La tinea nigra es una infrecuente micosis superficial causada por el hongo dematiáceo Hortaea werneckii. Se presenta habitualmente en zonas costeras tropicales, siendo muy escasos los reportes en países sudamericanos con climas más templados. Habitualmente corresponde a infecciones importadas por viajeros. Se presenta el caso de una paciente adulta chilena, sin historia previa de viajes recientes, cursando con cuadro clínico y microbiológico compatible con tinea nigra palmar, tratado con itraconazol oral y sertaconazol tópico con respuesta favorable. Esta paciente corresponde al primer caso reportado en Chile de origen autóctono.
Authors:
Javier Arellano[1,2], Pablo Vargas[2], Mauricio Urrutia[3]
Affiliation:
[1] Servicio de Dermatología, Hospital Clínico San Borja Arriarán, Santiago, Chile
[2] Departamento de Dermatología, Facultad de Medicina, Universidad de Chile, Santiago, Chile
[3] Laboratorio de Dermatología, Clínica Alemana de Santiago-Universidad del Desarrollo, Santiago, Chile
E-mail: pablovargas.med@gmail.com
Author address:
[1] Santos Dumont 999
Independencia
Santiago
Chile
Citation: Arellano J, Vargas P, Urrutia M. First autochthonous case report of tinea nigra in Chile. Medwave 2019;19(6):e7666 doi: 10.5867/medwave.2019.06.7666
Submission date: 6/3/2019
Acceptance date: 24/6/2019
Publication date: 17/7/2019
Origin: not commissioned
Type of review: reviewed by five external peer reviewers, double-blind
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- Bonifaz A, Badali H, de Hoog GS, Cruz M, Araiza J, Cruz MA, Fierro L, Ponce RM. Tinea nigra by Hortaea werneckii, a report of 22 cases from Mexico. Stud Mycol. 2008;61:77-82. | CrossRef | PubMed |
- Perez C, Colella MT, Olaizola C, Hartung de Capriles C, Magaldi S, Mata-Essayag S. Report of twelve cases in Venezuela. Mycopathologia. Mycopathologia. 2005 Oct;160(3):235-8. | CrossRef | PubMed |
- Maia Abinader MV, Carvalho Maron SM, Araújo LO, Silva Ado A. Tinea nigra dermoscopy: A useful assessment. J Am Acad Dermatol. 2016 Jun;74(6):e121-2. | CrossRef | PubMed |
- Noguchi H, Hiruma M, Inoue Y, Miyata K, Tanaka M, I/hn H. Tinea nigra showing a parallel ridge pattern on dermoscopy. J Dermatol. 2015 May;42(5):518-20. | CrossRef | PubMed |
- Piliouras P, Allison S, Rosendahl C, Buettner PG, Weedon D. Dermoscopy improves diagnosis of tinea nigra: a study of 50 cases. Australas J Dermatol. 2011 Aug;52(3):191-4. | CrossRef | PubMed |
- Rezusta A, Gilaberte Y, Betran A, Gene J, Querol I, Arias M, et al. Tinea nigra: a rare imported infection. J Eur Acad Dermatol Venereol. 2010 Jan;24(1):89-91. | CrossRef | PubMed |
- Rossetto AL, Cruz RC. Spontaneous cure in a case of Tinea nigra. An Bras Dermatol. 2012 Jan-Feb;87(1):160-2. | PubMed |
Bonifaz A, Gómez-Daza F, Paredes V, Ponce RM. Tinea versicolor, tinea nigra, white piedra, and black piedra. Clin Dermatol. 2010 Mar 4;28(2):140-5. | CrossRef | PubMed |Romero Navarrete M, Castillo A, Sánchez A, Arenas R. Tiña negra. Revisión de la literatura internacional y énfasis de casos publicados en México. Dermatología CMQ 2012;10(3):205-211. | Link |Conti-Díaz IA, Burgoa F, Civila E, Bonasse J, Miller A. [Tinea nigra. 1st clinical case in Uruguay]. Mycopathologia. 1984 Aug 30;87(1-2):81-3. | PubMed |Maldonado I, Fernández Canigia L, Leitner R, Vitale RG. [Tinea nigra palmaris: a clinical case in Argentina]. Rev Argent Microbiol. 2007 Oct-Dec;39(4):218-20. | PubMed |Tucto S, Castillo W, Teliz ML. Tiña negra palmar reporte de dos casos. Dermatol peru. 2002; 12(3):227-230. | Link |Aldama Caballero A, Martínez Rodríguez L, Insaurralde Molas S. Tiña Negra. Reporte del primer caso en Paraguay. An Fac Cienc Méd. (Asunción) 2013; 46(2):63-66. | Link |Cabrera R, Sabatin N, Urrutia M, Sepúlveda R. [Tinea nigra: a allochthonous case report in Chile]. Rev Chilena Infectol. 2013 Feb;30(1):90-3. | CrossRef | PubMed |Bonifaz A, Badali H, de Hoog GS, Cruz M, Araiza J, Cruz MA, Fierro L, Ponce RM. Tinea nigra by Hortaea werneckii, a report of 22 cases from Mexico. Stud Mycol. 2008;61:77-82. | CrossRef | PubMed |Perez C, Colella MT, Olaizola C, Hartung de Capriles C, Magaldi S, Mata-Essayag S. Report of twelve cases in Venezuela. Mycopathologia. Mycopathologia. 2005 Oct;160(3):235-8. | CrossRef | PubMed |Maia Abinader MV, Carvalho Maron SM, Araújo LO, Silva Ado A. Tinea nigra dermoscopy: A useful assessment. J Am Acad Dermatol. 2016 Jun;74(6):e121-2. | CrossRef | PubMed |Noguchi H, Hiruma M, Inoue Y, Miyata K, Tanaka M, I/hn H. Tinea nigra showing a parallel ridge pattern on dermoscopy. J Dermatol. 2015 May;42(5):518-20. | CrossRef | PubMed |Piliouras P, Allison S, Rosendahl C, Buettner PG, Weedon D. Dermoscopy improves diagnosis of tinea nigra: a study of 50 cases. Australas J Dermatol. 2011 Aug;52(3):191-4. | CrossRef | PubMed |Rezusta A, Gilaberte Y, Betran A, Gene J, Querol I, Arias M, et al. Tinea nigra: a rare imported infection. J Eur Acad Dermatol Venereol. 2010 Jan;24(1):89-91. | CrossRef | PubMed |Rossetto AL, Cruz RC. Spontaneous cure in a case of Tinea nigra. An Bras Dermatol. 2012 Jan-Feb;87(1):160-2. | PubMed |
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