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Non-invasive, involves top layer of the skin,

hair, or nails
Caused by dermatophytes

Trichophyton

Microsporum
Epidermophyton

Break down and utilize keratin -source of

Nitrogen

ANTHROPHILIC FUNGI

Incapable of penetrating in subcutaneous

tissue

ZOOPHILIC FUNGI

GEOPHILIC FUNGI

Genus Trichophyton skin, hair and nails

Genus Microsporum hair and skin
Genus Epidermophyton skin and nails

Malassezia

Piedra
Trichosporon

These organisms cause TINEA RINGWORM

ONCHOMYCOSIS INFECTION IN THE NAILS

Trichophyton tonsurans

Trichophyton rubrum

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Trichophyton mentagrophytes

Epidermophtyon Floccosum

Microsporum canis

Microsporum audouinii

Spectrum of disease
Cutaneous mycoses refered to as tinea
latin for worm, or ringworm

Widely distributed and are the most common &

important causes of infection in feet and nails.
May be:
anthrophilic
zoophilic

Characterized by another latin to

designate the area of the body involved.

Tinea corporis ringworm of the

body
Tinea cruris ring worm of the
groin jock itch)
Tinea capitis ringworm of scalp
and hair

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Tinea

beard

Tinea

nail

Tinea barbae

barbae ringworm of the

unguium ringworm of the

Ringworm of the beard

Usually zoophilic and an occupational
hazard to farm workers
Cuased by Trichophyton

mentagrophytes

Tinea

pedis ringworm of the

foot athletes foot

Tinea capitis

Black dot ringworm Endothrix infection cuased

by: Trichophyton tonsurans

Ringworm of the scalp

Gray-patch ringworm

Common in young
children
Typically caused by
:Microsporum canis and

Microsporum audouinii

Tinea corporis

Inflammatory Ectothrix Trichophyton

mentagrophytes

Ringworm of the body

Typically caused by: Trichophyton tonsurans and

Trichophton rubrum

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Tinea cruris

Tinea pedis

Ringworm of the groin

Common infections in athletes,

military personnel and others
who share towels or clothing
Caused by: Epidermophyton

floccosum

Ringworm of the foot athletes

foot
Infection on soles of feet and inbetween toes characterized by itching,
and scales

Caused by:

Trichophyton mentagrophytes,
Trichophyton rubrum
Epidermophyton floccosum

Tinea unguium

Ringworm of the nail

Nail eventually becoming thick
and brittle

Caused by:
Trichophyton rubrum,
Trichophyton mentagrophytes
Epidermophyton floccosum

Piedraia hortae
Malassezia furfur

Exophiala werneckii

Trichosporon beigelii

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Irregular patches or non-pigmented or untanned skin on

dark-skinned individual

Tinea versicolor/Ptyriasis versicolor

Superficial brownish or scaly areas on light skinned
individuals

Caused by M.furfur
Grows in area where sebum and skin oil accumulates
Associated with

Tinea nigra palmaris

(lipophilic)
Palms of the hand (black to scaly patches)
Caused by: Exophiala werneckii

poor personal hygeine

Fluoresce under woods light

Tight clusters of spherical yeastlike cells w/ hyphal

fragments sphagetti and meatballs

Black piedra
Caused by: Piedraia hortae
Hard, brown black in crusts on the outside of the hair
shaft

White Piedra

Cuased by: Trichosporon beigelii

Light brown, soft nodules on the beard or mustache
that are less firmly attached than those of black piedra

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Infection of the hair follicles

10% KOH PREPARATION

Can progress to formation of crusty, cup shaped

lesion (scutula) which is made up of dead
epithelial cells and fungal mycelia

Culture using SDA with or without antibiotics

Can also be inoculated to DTM

Can lead to hair loss and scar tissue formation

Change of color

incubation)

Caused by: Tricophyton schoenleinii

from yellow red (14 days

UV LAMP FLUORESCENCE USING WOODS LIGHT

SDA overlaid with olive oil for M.furfur

Result from a traumatic skin puncture from

thorns or vegetation contaminated with fungi

Underlying tissue

Cuased by dematiceaous fungi

Dark, slow growing fungi (vegetation, soil)

Commonly found in soil - geophilic

Infection initiated by a puncture wound or

trauma
Involves: feet and lower legs

Sporothrichosis
Chromoblastomycosis
Phaeohyphomycosis
Mycetoma

Characterized by:
Chronic, non-healing warty, tumorlike lession
Fonsacaea pedrosi common worldwide

Cuased by dematiceaous fungi

Dark, slow growing fungi (vegetation, soil)
Chronic granulomatous infection in the cutaneous
and subcutaneous tissue and bone
Tumorlike deformity of the subcutaneous tissue
with abscess, draining sinuses and granulomatous
pus (yellow, red, black pus)
Frequently seen on feet

Presence of cauliflower-like surface (if

left untreated)

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Pseudallescheria boydii

Acremonium falciforme

Madurella mycetomatis

Exophialla jeanselmii

Sporotrichosis
Subcutaneous infection
Skin trauma caused by finger prick from thorny
plants such as roses

Rose gardeners disease

Cuased by: Sporothrix schenkii
Can also be inhaled pulmonary infections

Sporothrix

schenckii

Commonly recovered from the soil

Microscopy :
cigar shaped yeast
Rosette pattern of conidia