In vitro activities of antifungal drugs against a large collection of Trichophyton tonsurans isolated from wrestlers

Mycoses. 2020 Dec;63(12):1321-1330. doi: 10.1111/myc.13172. Epub 2020 Sep 13.

Abstract

Background: Trichophyton tonsurans is the most common agent causing tinea gladiatorum in wrestlers, and limited data on susceptibility profiles of Trichophyton tonsurans are available.

Objectives: We aimed to assess the in vitro activity of the common antifungal drug against a large collection of T tonsurans.

Materials/methods: The in vitro activities to eight common antifungal drugs (sertaconazole, itraconazole, clotrimazole, fluconazole, butenafine, tolnaftate, terbinafine and griseofulvin) against 128 clinical isolates of T tonsurans strains, obtained from wrestlers with dermatophytosis, were performed according to CLSI M38-A2 broth microdilution document.

Results: The geometric mean minimum inhibitory concentration was the lowest for tolnaftate (0.022 µg/mL), followed by itraconazole (0.026 µg/mL), terbinafine (0.033 µg/mL), butenafine (0.088 µg/mL), griseofulvin (0.566 µg/mL), sertaconazole (2.875 µg/mL), clotrimazole (3.419 µg/mL) and fluconazole (12.540 µg/mL).

Conclusions: Evaluation of antifungal susceptibility of dermatophytes showed that tolnaftate and itraconazole were the most effective drugs against T tonsurans and fluconazole had the least effect.

Keywords: Trichophyton tonsurans; Tinea gladiatorum; dermatophytosis; in vitro antifungal susceptibility testing.

MeSH terms

  • Antifungal Agents / pharmacology*
  • Arthrodermataceae / classification
  • Arthrodermataceae / drug effects*
  • Athletes*
  • Dermatomycoses / classification
  • Dermatomycoses / microbiology*
  • Drug Resistance, Fungal
  • Humans
  • Iran
  • Microbial Sensitivity Tests
  • Wrestling*

Substances

  • Antifungal Agents

Supplementary concepts

  • Trichophyton tonsurans