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1) Clinical Identification: Absolute diagnosis of Trichophytosis must be done by laboratory inspection because it can be clinically misdiagnosed with other skin diseases, insect bites, bacterial infections.

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(1)

Identificaiton

1) Clinical Identification: Absolute diagnosis of Trichophytosis must be done by laboratory inspection because it can be clinically misdiagnosed with other skin diseases, insect bites, bacterial infections.

2) Laboratory Inspection:

Microscopy: Skin scrapings and hair samples must be taken from the outside of the

lesion. Samples must be put on a clear slide and inspected with %10 KOH on

microscope. Arthrospores, hyphae with branches and septums are seeked.

(2)

Culture: SDA is optimal. Samples are sticked into the different

parts of the agar. Petri dishes are incubated for 2 weeks at 25C. The

macroscopic and microscopic morphology of colonies can be

inspected.

(3)

Hair Perforation Test

• To discriminate the T. mentagrophytes and T. rubrum

• T. Mentagrophytes can invade to hair tissue and make conical perforation

• Hair sample is taken from a child

• This hair autoclaved at 121°C for 15 min to sterilized it

• These steril hair samples are left on the 3-5 day subculture of the tested dermathophyte and incubated at 25°C

• On the 7th day the hair samples are stained with LCB for the inspection of perforation

(4)

Treatment:

Topical antifungals,

Thiabendazole, Miconazole, Ecoconazole, Ketoconazole, İtraconazole, Lime- sulphur solution, 5 % sodium hypochlorite solution can be used topically.

Systemic antifugals can be used if topical treatment doen not work. For example; ketoconazole, clotrimazole, itraconazole, terbinafine. Mostly terbinafine is the most efficient.

Nowadays, Griseofulvin isn’t used because of its acute toxicity

Prevention – Control

• T. verrucosum (LTF-130 strain)

• Live vaccine. Contains conidia and hyphal elements. Used for both prophylaxis and curation.

(5)

Microsporum Genus

(6)

• It is a dermathomycoses caused by Microsporum species in both animal and humans’ hair and skin

Mikrosporum İnfeksiyonları (Mikrosporozis), insan ve hayvanlarda, Mikrosporum cinsine ait mantarlar tarafından kıl ve deride oluşan bir dermatomikozistir.

• The arthrospores are smaller than the Trichophytone’s. They can surround the hair like a package

Mikrosporum cinsine ait mantarların artrosporları, Trikofiton cinsine ait mantarların artrosporlarından daha küçüktür ve kılların etrafında mozaik görünümlü paketler oluştururlar.

• The morphology of colonies are thin, granullar or cotton shaped and with different colours

Katı besiyerinde üreyen kolonileri ince, granüllü, kadife veya pamuk görünümlü ve çeşitli renklerde olabilmektedir.

• In microscopy big, thin and thick walled, multi compatment (3-15 cells) and shuttle shaped macroconidiums can be inspected

Mikroskop altında incelemelerde büyük, ince veya kalın duvarlı, çok bölmeli ( 3-15 hücreli) ve mekik şeklinde makrokonidiumlara rastlanmaktadır.

• Microconidiums can be observed as spherical, oval and unicellular on the hyphae one by one

Mikrokonidiumlar, tek hücreli, yuvarlak, oval ya da armut biçimlidir. Hifalar üzerinde saplı ve tek tek hücreler tarzında yer alırlar.

• Microsporum species give yellow-green fluoresence under the wood lamp!!!

Mikrosporum’lar, Wood Lambası altında parlak sarı-yeşil renkli fluoresans verirler !

(7)

Epidemiology

• Can be seen all over the World

• Mikrosporum’dan ileri gelen dermatofitozislere dünyanın her yerinde sıkça rastlanmaktadır.

• Spread by direct contact or indirectly

• Mikrosporozis, direkt temas veya indirekt yollarla bir hayvandan diğer hayvana kolaylıkla bulaşır.

• The infection is more contogious in especially in winter and in the the crowded, dirty and moist barns

• Özellikle kış aylarında kalabalık, pis ve rutubetli ahırlarda bulaşma daha çabuk şekillenir.

• Mostly the young animals are effected

• Genellikle genç hayvanlarda daha çok görülmektedir.

(8)

Important Pathogenic Species

• Microsporum canis

( Dog, Cat, Horse, Rabbit, Rodents )

• Microsporum nanum

( Dog, Pig )

• Microsporum cookei

( Dog, Cat, Guinea pig )

• Microsporum gypseum

( Dog, Cat, Horse, Rodent )

• Microsporum audouinii

( Dog, Monkey, Rodent )

• Microsporum distordum

( Dog, Monkey )

• Microsporum persicolor

( Human, Dog, Rat )

• Microsporum ferrugineum

( Human, Animal )

• Microsporum vanbreuseghemii

( Human, Animal )

(9)

Identification

1) Clinical Identification: Absolute diagnosis of Microsporiosis

must be done by laboratory inspection because it can be

clinically misdiagnosed with other skin diseases, insect bites,

bacterial infections.

(10)

Wood’s Lamb inspection:

• While growing, M. canis, M. distortum, M. audouini (human) and M.

ferrugineum (human) can produce some metabolites which also give green fluorescence by Wood’s Lamb UV light (366 nm)

• Suspected M. canis infections can be diagnosed

• The infected sites are generally face, front paws and abdominal areas

• However half of the M. canis infections doesn’t give fluorescence, because of this future laboratory inspection must be performed

• Topical ointments lead to false positive results

(11)

Laboratory Inspection

Skin scrapings and hair samples must be taken from the outside of the lesion.

1) Microscopy: Arthrospores, hyphae with branches and septums can be onserved.

2) Culture: SDA is optimal. Samples are sticked into the different parts of the agar. Petri dishes are incubated for 2 weeks at 25C. The macroscopic and microscopic morphology of colonies can be inspected.

Treatment:

Topical and systemic treatment is performed for 10 days with antifungal agents.

Itraconazole ( Anorexia risk is low in cats ) Terbinafine

Ketoconazole Thiabendazole Miconazole

Griseofulvin (Isn’t used because of its acute toxicity) (In Siamese, Himalayan, Abyssinian cats myelosupression can be observed)

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