Trichophyton

According to current classification, the genus includes anthropophilic and zoophilic species.[1] Anthropophilic fungi prefer to infect humans. Zoophilic fungi prefer to infect animals other than humans. Humans and animals are natural reservoirs for parasitic or dermatophytic fungi.

Other accepted species;[2]

Trichophyton mentagrophytes (Family Arthrodermataceae, Genus Trichophyton) is capable of both mating[3] and meiosis.[4]

The anthropophilic varieties cause forms of dermatophytosis, that is, fungal infection of the skin. They are keratinophilic: they feed on the keratin in nails, hair, and dead skin.

Trichophyton concentricum causes "Malabar itch", a skin infection consisting of an eruption of a number of concentric rings of overlapping scales forming papulosquamous patches.[5]

Trichophyton rubrum and Trichophyton interdigitale cause athlete's foot (tinea pedis), toenail fungal infections (a.k.a. tinea unguium, a.k.a. onychomycosis), crotch itch (a.k.a. tinea cruris), and ringworm (a misnomer, as there is no worm involved; it is also known as tinea corporis). Trichophyton schoenleinii cause favus (tinea capitis),Trichophyton mentagrophytes var. mentagrophytes and Trichophyton verrucosum cause Kerion (violent reaction results from infection with an animal dermatophytes).[6] Fungal folliculitis is a rare hair follicle infection induced overwhelmingly by Trichophyton, which can be spread zoonotically.[7][8] The fungi can easily spread to other areas of the body as well and to the host's home environs (socks, shoes, clothes, showers, bathtubs, counters, floors, carpets, etc.).

They can be transmitted by direct contact, by contact with infested particles (of dead skin, nails, hair) shed by the host, and by contact with the fungi's spores. These fungi thrive in warm moist dark environments, such as in the dead upper layers of skin between the toes of a sweaty foot inside a tightly enclosed shoe, or in dead skin particles on the wet floor of a communal (shared) shower. Their spores are extremely difficult to eliminate, and spread everywhere.

When the hyphae of the fungi burrow into the skin and release enzymes to digest keratin, they may irritate nerve endings and cause the host to itch, which may elicit the scratch reflex, which directs the host to scratch. Scratching directly transfers fungi and dead skin particles that are infested with the fungi to the fingers and under the finger nails. From there they can be transmitted to other parts of the host's body when the host touches or scratches those. Scratching also damages skin layers, making it easier for the fungi to spread at the site of the infection. If the fungi and infested debris are not washed from the fingers and fingernails soon enough, the fungi can also infect the skin of the fingers (tinea manuum), and burrow underneath and into the material of the fingernails (tinea unguium). If left untreated, the fungi continue to grow and spread.

A variety of zoophilic and anthropophilic dermatophyte treatments have varying levels of success based on species type. Treatments may take up to six months.[9]

• Doctor Fungus
• Mycology Unit at the Adelaide Women's and Children's Hospital