Different Clinical Manifestations of Sport-Related Dermatophytosis: A Two-Case Series

运动相关性皮肤癣菌病的不同临床表现:两例病例系列研究

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Abstract

Dermatophyte infections are among the most frequent fungal diseases worldwide, and athletes constitute a particularly vulnerable group due to warm, humid microenvironments, occlusive clothing, and repeated skin contact. These conditions promote the transmission of Trichophyton tonsurans, a major pathogen responsible for sport-related dermatophytosis. Here, we describe two cases of infection in athletes from different disciplines, highlighting varied clinical manifestations influenced by sport-specific exposure and individual factors. Both patients presented with erythematous, scaly lesions consistent with tinea corporis; however, the clinical manifestation was different. In a basketball player extensive tinea corporis, involving a large area of the trunk was found. The second athlete, practicing Kung-Fu, demonstrated features of tinea corporis gladiatorum with small-sized three round lesions. In both patients Trichophyton tonsurans was identified as the causative agent. They responded well to combined systemic and topical antifungal therapy. The cases emphasize that physical contact, perspiration, and shared equipment significantly affect the spread and clinical course of the disease. Accurate mycological confirmation and prompt antifungal treatment remain essential for successful outcomes. Increased awareness among healthcare providers of dermatophytosis in athletes can facilitate early recognition and effective management, ultimately lowering the burden of fungal skin infections in this population.

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