A 23-year-old man from North Africa with a genetic immune disorder (CARD9 deficiency) developed a serious fungal skin infection with deep tissue involvement. The infection caused multiple pus-filled pockets and hair loss on his scalp. Doctors treated him with both antifungal medications and surgery to drain the infected areas, resulting in complete healing after two weeks.
This study evaluated a new testing method combining DNA analysis (PCR) with traditional microscopy and culture to diagnose fungal skin, hair, and nail infections. The PCR method detects the infection quickly and accurately, identifying the specific fungus causing the problem within days rather than weeks. The study of over 4,400 samples found that Trichophyton rubrum was the most common cause of fungal infections, and the combined testing approach was 98.5% accurate while reducing unnecessary lab work.
This interview with Dr. John Perfect, a leading expert in fungal infections, discusses how antifungal treatments have evolved over his 48-year career. He explains that while fungal resistance is a concern, it’s less problematic than bacterial antibiotic resistance because fungi don’t spread resistance through plasmids. Dr. Perfect emphasizes the importance of newer, faster-acting antifungal drugs and combining drug therapy with immune system support to better treat serious fungal infections like cryptococcal meningitis and candidemia.
This research studies how a fungus called Nannizzia gypsea forms protective biofilms on skin and hair, making infections harder to treat. Scientists grew the fungus in the lab and on real human hair, discovering it creates thick slime-like protective layers containing proteins, sugars, and DNA. The fungus also produces enzymes that break down keratin (the main protein in skin and hair) and activates drug-pumping proteins that help it resist antifungal medications. Understanding these defense mechanisms could help develop better treatments for fungal skin infections that are currently difficult to cure.
Researchers in northwestern Iran studied fungal infections of skin, hair, and nails by identifying different types of dermatophytes from patient samples and soil. They found that a fungus called Trichophyton mentagrophytes was the most common cause, but also discovered a rare fungus called Myriodontium keratinophilum causing nail infections. Using modern DNA testing methods, they identified seven different dermatophyte species and several other soil fungi, providing important information about fungal infections in this region.
Researchers tested how well three antifungal drugs (micafungin, anidulafungin, and caspofungin) work against a common fungus that causes skin infections. They found that two of these drugs were more effective than the third, suggesting they could be helpful alternatives when standard treatments fail due to drug-resistant fungal strains. The study also reviewed similar research worldwide and found consistent results across different testing methods.
This study examined how Nannizzia gypsea, a fungus that causes skin infections in humans and animals, forms protective biofilms that make it resistant to antifungal drugs. Researchers found that the fungus creates a robust protective layer with specific molecular components and highly expresses genes related to virulence and drug resistance when in biofilm form. These findings help explain why dermatophyte infections are difficult to treat and recur frequently.
Fungal skin infections affect nearly a billion people worldwide and are becoming increasingly difficult to treat due to growing resistance to common antifungal medications. A new species of fungus called T. indotineae, particularly resistant to the popular antifungal drug terbinafine, is spreading globally from India. To combat this emerging health crisis, doctors and health organizations are working together to create global registries and surveillance programs to track resistant infections and develop better treatment strategies.
Researchers studied fungal skin infections in a community in northeastern Argentina, finding that 37% of patients had these infections. The most common cause was a fungus called Trichophyton tonsurans. Poor living conditions like overcrowding and lack of clean water increased infection risk. The study shows that fungal skin infections are a significant health problem in areas with limited access to basic sanitation and water services.