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The first case of a sexually transmitted form of ringworm has been reported in the United States.
Health officials warned of the highly contagious fungal strain after a New York City man in his 30s developed the condition.
“Healthcare providers should be aware that Trichophyton mentagrophytes type VII [TMVII] is the latest in a group of severe skin infections to have now reached the United States,” said Dr. Avrom S. Caplan, an assistant professor in NYU Grossman School of Medicine’s dermatology department, according to the New York Post.
Caplan co-authored a case study published Wednesday, detailing an unidentified New Yorker who became infected with TMVII.
The individual had a rash on his penis, buttocks and limbs, the New York Post noted.
New sexually transmitted fungal infection detected in NYC https://t.co/25oxcUcbNc via @nypost Health experts are warning of new and highly contagious fungal strains after an NYC man in his 30s developed a sexually transmitted form of ringworm — the first reported case in the US.
— janice49 (@janmedo49) June 5, 2024
USA TODAY reports:
According to a new JAMA Dermatology report released Wednesday, the first case involved a man in his 30s from New York City who developed (tinea) ringworm on his genitals, buttocks and limbs after he reported having sex with men during a trip to California and trips overseas to England and Greece.
When the man returned home, according to the case study, he developed an itchy red, rash on areas including his groin, genitals and buttocks, and tests confirmed he had contracted the rare fungus.
Trichophyton mentagrophytes type VII is a drug resistant fungus that causes skin disease in animals and humans and is acquired through sexual contact, according to the CDC.
“Cases of TMVII have been on the rise in Europe, especially in men who have sex with men,” the New York Post noted.
New sexually transmitted fungal infection detected in NYC — the first case in the US https://t.co/tk1uratgPt pic.twitter.com/DmrNOwN06W
— New York Post (@nypost) June 6, 2024
From the New York Post:
“Since patients are often reluctant to discuss genital problems, physicians need to directly ask about rashes around the groin and buttocks, especially for those who are sexually active, have recently traveled abroad, and report itchy areas elsewhere on the body,” study senior author Dr. John G. Zampella advised.
Zampella noted that infections caused by TMVII seem to respond to standard antifungal therapies such as the medication terbinafine (also known as Lamisil), but they can take months to clear up.
They also may be confused with lesions caused by eczema, which may delay treatment.
A different itchy and contagious skin infection that causes rashes similar to TMVII is proving to be a greater challenge for dermatologists.
Trichophyton indotineae — which is widespread in India and was first confirmed in the US last year — often resists terbinafine treatment, the NYU Grossman School of Medicine researchers said.
They analyzed data from 11 men and women treated for Trichophyton indotineae in NYC hospitals between May 2022 and May 2023.
Seven of the patients received standard doses of terbinafine.