HIV Management Guide for Clinical Care

HIV Management Guide for Clinical Care

HIV-infectious Disease & Cancer

Management > HIV-infectious Disease & Cancer > Fungal infections

Fungal infections

Dermatophyte infections 

Dermatophytosis is most  commonly  due to Trichophyton rubrum, Trychophytum mentagrophytes or Microsporum canis. Patients living with HIV are not at increased risk of dermatophytosis, including those with advanced infection or low CD4+ counts. (88 

Clinical presentation 

 Cutaneous dermatophyte infection may affect the inguinal areas (tinea cruris), scalp (tinea capitis), body (tinea corporis) or nails (tinea unguium). Superficial dermatophyte infections can be atypical in patients with HIV, including widespread skin or nail involvement. (89) Dermatophyte infections may also present as multiple fluctuant erythematous ulcerative nodules, which can lead to permanent hair loss on the scalp. (90) 

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