Trichophyton indotineae infections and other severe or antifungal-resistant dermatophytoses
![Banner for Emerging dermatophytes](http://images.ctfassets.net/1ny4yoiyrqia/2XYdCZI0kYMHJfdJEPrP3R/9704f69a1ac39042459686639ef83b4e/24-618-CMM_Emerging_dermatophytes-banner.png)
Dermatophytosis (ringworm, tinea, jock itch, athlete’s foot) is a very common and typically minor infection of the skin caused by dermatophyte fungi.1 In the past decade, severe or antifungal-resistant dermatophytoses have become a global public health concern, including in the United States.
The AAD has assembled resources on Trichophyton indotineae and other severe or antimicrobial-resistant dermatophytes. These resources include information sheets on disease recognition, diagnosis, and treatment options, but do not constitute a clinical guideline. The AAD/ILDS emerging diseases registry helps to gather information on severe or antimicrobial-resistant dermatophytosis cases.2 This content was developed by the Academy’s Emerging Diseases Task Force and Avrom S. Caplan, MD, FAAD.
![Image of a man's back showing signs of infection by Trichophyton indotineae](http://images.ctfassets.net/1ny4yoiyrqia/3D3aYpNdtH2DtZWVZke6mp/b117eb227d68e6f8f664722cd00184a2/24-586_Dermatophyte_Drug_Registry_Webtile-600x400-adjusted-square.png?w=450&h=300)
Report suspected cases of antifungal-resistant dermatophytosis.
![Card image for Recognizing Trichophyton indotineae](http://images.ctfassets.net/1ny4yoiyrqia/4mEYGDPYkMFgA6CmTwBEVg/59050460eb0fa344591daf4c6103cefb/Emerging-disease-t-indotineaea-01-r2.jpg?w=450&h=300)
Access Academy guidance on recognizing signs of infection by T. indotineae.
![Image of T. indotineae infection](http://images.ctfassets.net/1ny4yoiyrqia/2JwKswi4lEvbf79bKpSth4/8dfa8d0fd6566fd17cdf2854240dba66/Ti_3-r1.jpg?w=450&h=300)
See Academy information on prevention and treatment of T. indotineae.
![Card image for Other emerging severe and resistant dermatophytes](http://images.ctfassets.net/1ny4yoiyrqia/1X6ODZYjFIWiYkOkCREF7p/c499e42b4f4332f999efca75712b6bea/Dermatophysis-02-r1.jpg?w=450&h=300)
See Academy guidance on TMVII other emerging dermatophytes of concern.
![Card image of Trichophyton rubrum](http://images.ctfassets.net/1ny4yoiyrqia/5qKjWNHmyZCbVdh1yZyXJn/95d1b547037a523d34d9ab040d3ee5c3/AAD-Fungus-Trichophyton-rubrum-card-2.jpg?w=450&h=300)
See Academy resources related to T. rubrum that is resistant to terbinafine.
![Card illustration for treatment pathway for drug-resistant dermatophytes](http://images.ctfassets.net/1ny4yoiyrqia/58mKNQl28p5C4lsppLXd8W/195e563cfc9d31e60802afe9fdd1afe6/24-871_Treatment_Pathway_web_tile.png?w=450&h=300)
Access a suggested algorithm for refractory or chronic dermatophytosis (PDF).
Alerts and brief updates
1. Notes from the Field: Trichophyton mentagrophytes Genotype VII — New York City, April–July 2024
References
Clinical Overview of Ringworm and Fungal Nail Infections. CDC. Updated 2/6/2024. Accessed 6/21/2024, https://www.cdc.gov/ringworm/hcp/clinical-overview/?CDC_AAref_Val=https://www.cdc.gov/fungal/diseases/ringworm/health-professionals.html.
Emerging Ringworm. CDC. Updated 4/24/2024. Accessed 6/21/2024, https://www.cdc.gov/ringworm/hcp/clinician-brief-resistant-infections/?CDC_AAref_Val=https://www.cdc.gov/fungal/diseases/ringworm/dermatophyte-resistance.html.