DESCRIPTIONS OF MEDICAL FUNGI
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Descriptions of Medical Fungi 203<br />
Trichophyton mentagrophytes (Robin) Blanchard<br />
Synonymy: T. mentagrophytes var. mentagrophytes (Robin) Sabour.<br />
Trichophyton mentagrophytes is a zoophilic fungus with a worldwide distribution and<br />
a wide range of animal hosts including mice, guinea-pigs, kangaroos, cats, horses,<br />
sheep and rabbits. Produces inflammatory skin or scalp lesions in humans, particularly<br />
in rural workers. Kerion of the scalp and beard may occur. Invaded hairs show an<br />
ectothrix infection but do not fluoresce under Wood’s ultra-violet light. Distribution is<br />
worldwide.<br />
RG-2 organism.<br />
Morphological Description: Colonies are generally flat, white to cream in colour,<br />
with a powdery to granular surface. Some cultures show central folding or develop<br />
raised central tufts or pleomorphic suede-like to downy areas. Reverse pigmentation is<br />
usually a yellow-brown to reddish-brown colour. Numerous single-celled microconidia<br />
are formed, often in dense clusters. Microconidia are hyaline, smooth-walled, and<br />
are predominantly spherical to subspherical in shape, however occasional clavate<br />
to pyriform forms may occur. Varying numbers of spherical chlamydospores, spiral<br />
hyphae and smooth, thin-walled, clavate-shaped, multicelled macroconidia may also<br />
be present.<br />
Confirmatory Tests:<br />
Littman Oxgall Agar: Raised greyish-white, suede-like to downy colony. Some<br />
cultures may show a diffusible yellow to brown pigment.<br />
Lactritmel Agar: Cultures are flat, white to cream in colour, with a powdery to granular<br />
surface. Some cultures develop raised central tufts or pleomorphic downy areas.<br />
Reverse pigmentation is yellow-brown to pinkish-brown to red-brown. Microscopic<br />
morphology similar to that described above, with predominantly spherical microconidia,<br />
often formed in dense clusters, and varying numbers of spherical chlamydospores,<br />
spiral hyphae and smooth, thin-walled, clavate, multiseptate macroconidia.<br />
Sabouraud’s Dextrose Agar with 5% Salt: Cultures are heaped and folded, buff to<br />
brown in colour, with a suede-like surface texture and characteristically have a very<br />
dark reddish-brown submerged peripheral fringe and reverse pigmentation.<br />
1% Peptone Agar: Flat, cream-coloured, powdery to granular colony with no reverse<br />
pigment.<br />
Hydrolysis of Urea: Positive within 7 days (usually 3 to 5 days).<br />
Vitamin Free Agar (Trichophyton Agar No.1): Good growth indicating no special<br />
nutritional requirements. Cultures are flat, cream-coloured, with a powdery to suedelike<br />
surface, and have a reddish-brown reverse pigmentation.<br />
Hair Perforation Test: Positive within 14 days.<br />
Key Features: Culture characteristics, microscopic morphology and clinical disease<br />
with known animal contacts. T. mentagrophytes can be distinguished from T. interdigitale<br />
by: (a) its granular appearance on the 1% Peptone agar; (b) its microscopic morphology<br />
of more spherical microconidia and generally greater numbers of macroconidia; and<br />
(c) a yellow to brown diffusible pigment is often seen on the Littman oxgall agar. Both<br />
T. interdigitale and T. mentagrophytes demonstrate profuse growth and alkalinity on<br />
BCP milk solids agar.