DESCRIPTIONS OF MEDICAL FUNGI
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Descriptions of Medical Fungi 213<br />
Trichophyton tonsurans is an anthropophilic fungus with a worldwide distribution which<br />
causes inflammatory or chronic non-inflammatory finely scaling lesions of skin, nails<br />
and scalp. It is a common cause of tinea capitis in Australian Aborigines and African<br />
Americans. Invaded hairs show an endothrix infection and do not fluoresce under<br />
Wood’s ultra-violet light.<br />
RG-2 organism.<br />
Morphological Description: Colonies show considerable variation in texture and<br />
colour. They may be suede-like to powdery, flat with a raised centre or folded, often<br />
with radial grooves. The colour may vary from pale-buff to yellow, (the sulfureum form<br />
which resembles Epidermophyton floccosum), to dark-brown. The reverse colour<br />
varies from yellow-brown to reddish-brown to deep mahogany. Hyphae are relatively<br />
broad, irregular, much branched with numerous septa. Numerous characteristic<br />
microconidia varying in size and shape from long clavate to broad pyriform, are borne<br />
at right angles to the hyphae, which often remain unstained by lactophenol cotton blue.<br />
Very occasional smooth, thin-walled, irregular, clavate macroconidia may be present<br />
on some cultures. Numerous swollen giant forms of microconidia and chlamydospores<br />
are produced in older cultures.<br />
Confirmatory Tests:<br />
Mycosel Agar: Chlamydospore-like structures produced by 5 days is characteristic of<br />
T. tonsurans (Mochizuki et al. 2013).<br />
Hydrolysis of Urea: positive at 5 days.<br />
Trichophyton tonsurans Malmsten<br />
T1<br />
T4<br />
a<br />
b<br />
Nutritional Tests on Trichophyton Agars: results demonstrate a partial requirement<br />
for (a) thiamine. T1 = vitamin free agar, (b) T4 = vitamin free + thiamine agar.<br />
Hair Perforation Test: Positive within 14 days.<br />
Key Features: microscopic morphology, culture characteristics, endothrix invasion of<br />
hairs and partial thiamine requirement.<br />
References: Rebell and Taplin (1970), Ajello (1972), Vanbreusegham et al. (1978),<br />
Rippon (1988), McGinnis (1980), Domsch et al. (1980), Kane et al. (1997) and de<br />
Hoog et al. (2000, 2015).