Trichophyton tonsurans

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Presentation transcript:

Trichophyton tonsurans An anthropophilic fungus causing inflammatory or chronic non-inflammatory finely scaling lesions of skin, nails and scalp. A common cause of tinea capitis in the Australian Aborigine and in the African-American population. Invaded hairs show an endothrix infection and do not fluoresce under Wood's ultra-violet light. Distribution: World-wide. Key Features: Microscopic morphology culture characteristics, endothrix invasion of hairs and partial thiamine requirements. Text slide.

282. T. tonsurans infection of the scalp in an eight year old Aboriginal showing minimal hair loss and numerous small broken off endothrix infected hairs. 282

283. Tinea of the scalp caused by T 283. Tinea of the scalp caused by T. tonsurans showing minimal hair loss and scaling. 283

284. T. tonsurans infection of a nail (tinea unguium).

285. Circular, finely scaling lesion with distinct erythematous borders on the thigh of a seven year old Aborigine. T. tonsurans was isolated. 285

286. Circular, erythematous pustular lesion due to T 286. Circular, erythematous pustular lesion due to T. tonsurans in an adult Caucasian. 286

287. Typical large spored endothrix invasion of hair caused by T 287. Typical large spored endothrix invasion of hair caused by T. tonsurans mounted in 10% KOH and Parker ink solution. Note the chains of arthroconidia. 287

288. Cultures of T. tonsurans show considerable variation in texture and colour. They may be suede-like to powdery, flat with a raised centre or folded, often with radial grooves. The colour may vary from pale-buff (slide 288) to yellow, the so-called “sulfureum” form, which resembles Epidermophyton floccosum (slide 289), to dark-brown (slide 290). The reverse colour varies from yellow-brown to reddish-brown to deep mahogany (slide 291 is the reverse of slide 290). All cultures are on mycobiotic agar. 288

289. Cultures of T. tonsurans show considerable variation in texture and colour. They may be suede-like to powdery, flat with a raised centre or folded, often with radial grooves. The colour may vary from pale-buff (slide 288) to yellow, the so-called “sulfureum” form, which resembles Epidermophyton floccosum (slide 289), to dark-brown (slide 290). The reverse colour varies from yellow-brown to reddish-brown to deep mahogany (slide 291 is the reverse of slide 290). All cultures are on mycobiotic agar. 289

290. Cultures of T. tonsurans show considerable variation in texture and colour. They may be suede-like to powdery, flat with a raised centre or folded, often with radial grooves. The colour may vary from pale-buff (slide 288) to yellow, the so-called “sulfureum” form, which resembles Epidermophyton floccosum (slide 289), to dark-brown (slide 290). The reverse colour varies from yellow-brown to reddish-brown to deep mahogany (slide 291 is the reverse of slide 290). All cultures are on mycobiotic agar.. 290

291. Cultures of T. tonsurans show considerable variation in texture and colour. They may be suede-like to powdery, flat with a raised centre or folded, often with radial grooves. The colour may vary from pale-buff (slide 288) to yellow, the so-called “sulfureum” form, which resembles Epidermophyton floccosum (slide 289), to dark-brown (slide 290). The reverse colour varies from yellow-brown to reddish-brown to deep mahogany (slide 291 is the reverse of slide 290). All cultures are on mycobiotic agar. 291

292. Regional endemic colony types of T 292. Regional endemic colony types of T. tonsurans often occur, for example in Australia, isolates from Aborigines living in the Northern Territory (slide 292) are quite different from those recovered from Aborigines living in South Australia (slide 293), the latter isolates having minimal surface hyphae and darker pigmentation. 292

293. Regional endemic colony types of T 293 Regional endemic colony types of T. tonsurans often occur, for example in Australia, isolates from Aborigines living in the Northern Territory (slide 292) are quite different from those recovered from Aborigines living in South Australia (slide 293), the latter isolates having minimal surface hyphae and darker pigmentation. 293

294. Microscopic morphology of T. tonsurans 294. Microscopic morphology of T. tonsurans. The hyphae are relatively broad, irregular and much branched with numerous septa. Numerous characteristic microconidia varying in size and shape from long-clavate to broad-pyriform are borne at right angles to the hyphae, which often remain unstained by lactophenol cotton blue (slide 294, 295). Very occasional smooth, thin-walled, irregular, clavate macroconidia may be present in some cultures (slide 296). Numerous swollen giant forms of microconidia and chlamydoconidia are produced in older cultures (slide 297). 294

295. Microscopic morphology of T. tonsurans 295. Microscopic morphology of T. tonsurans. The hyphae are relatively broad, irregular and much branched with numerous septa. Numerous characteristic microconidia varying in size and shape from long-clavate to broad-pyriform are borne at right angles to the hyphae, which often remain unstained by lactophenol cotton blue (slide 294, 295). Very occasional smooth, thin-walled, irregular, clavate macroconidia may be present in some cultures (slide 296). Numerous swollen giant forms of microconidia and chlamydoconidia are produced in older cultures (slide 297). 295

296. Microscopic morphology of T. tonsurans 296. Microscopic morphology of T. tonsurans. The hyphae are relatively broad, irregular and much branched with numerous septa. Numerous characteristic microconidia varying in size and shape from long-clavate to broad-pyriform are borne at right angles to the hyphae, which often remain unstained by lactophenol cotton blue (slide 294, 295). Very occasional smooth, thin-walled, irregular, clavate macroconidia may be present in some cultures (slide 296). Numerous swollen giant forms of microconidia and chlamydoconidia are produced in older cultures (slide 297). 296

297. Microscopic morphology of T. tonsurans 297. Microscopic morphology of T. tonsurans. The hyphae are relatively broad, irregular and much branched with numerous septa. Numerous characteristic microconidia varying in size and shape from long-clavate to broad-pyriform are borne at right angles to the hyphae, which often remain unstained by lactophenol cotton blue (slide 294, 295). Very occasional smooth, thin-walled, irregular, clavate macroconidia may be present in some cultures (slide 296). Numerous swollen giant forms of microconidia and chlamydoconidia are produced in older cultures (slide 297). 297

298. T. tonsurans has a partial requirement for thiamine 298. T. tonsurans has a partial requirement for thiamine. Note the enhanced growth on Trichophyton No.4 agar (Difco) containing thiamine 298