Emerging Terbinafine Resistance in Trichophyton : Clinical Characteristics, Squalene Epoxidase Gene Mutations, and a Reliable EUCAST Method for Detection

Author:

Saunte Ditte M. L.123ORCID,Hare Rasmus K.2ORCID,Jørgensen Karin M.2,Jørgensen René2ORCID,Deleuran Mette4,Zachariae Claus O.5,Thomsen Simon F.67,Bjørnskov-Halkier Lars8,Kofoed Kristian5,Arendrup Maiken C.239ORCID

Affiliation:

1. Department of Dermatology, Zealand University Hospital, Roskilde, Denmark

2. Unit of Mycology, Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark

3. Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

4. Department of Dermatology and Venereology, Aarhus University Hospital, Aarhus, Denmark

5. Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University of Copenhagen, Hellerup, Denmark

6. Department of Dermato-Venereology and Wound Healing Centre, Bispebjerg Hospital, Copenhagen, Denmark

7. Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark

8. Dermatologic Clinic, Horsens, Denmark

9. Department of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark

Abstract

In recent years, cases involving terbinafine-resistant Trichophyton isolates have been reported increasingly, particularly in India. We present 14 cases of terbinafine treatment failure in Trichophyton -infected Danish patients due to acquired resistance. Patients infected with Trichophyton rubrum ( n  = 12) or Trichophyton interdigitale ( n  = 2) with elevated terbinafine MICs during 2013–2018 were included.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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