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April 30, 2026Medical Mycology Case Reports0 citationsOpen Access

A rare case of inflammatory tinea barbae in a livestock farmer

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JSJessica SmithNHS LothianJGJillian GisbeyNHS LothianCSCatriona SykesMonklands Hospital

Key Points

  • This report aims to highlight the atypical presentation of tinea barbae in a young man with occupational exposure to animals.
  • Case report of a young man with nodular lesions on neck and wrist.
  • Diagnosis confirmed through fungal PCR identifying Trichophyton species.
  • Treated with systemic antifungals following extensive investigation.
  • Patient had progressive erythematous, nodular lesions unresponsive to antimicrobials.
  • Fungal PCR identified Trichophyton species as the causative agent.
  • Successful treatment achieved with systemic antifungals.

Abstract

Tinea barbae is a rare zoophilic dermatophyte infection of the beard area, commonly mimicking other dermatological or infectious conditions. We report a young man with progressive erythematous, nodular neck and wrist lesions, unresponsive to antimicrobials. Extensive investigation, including fungal PCR, identified Trichophyton species, leading to successful treatment with systemic antifungals. This case highlights the importance of considering atypical tinea barbae in patients with occupational animal exposure and persistent cutaneous lesions unresponsive to standard antibacterial treatments

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Cite This Study

Smith et al. (2026) studied this question.

synapsesocial.com/papers/69f2f0e31e5f7920c6386defhttps://doi.org/10.1016/j.mmcr.2026.100789
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