There’s a fungus among us. New infection affects gay men.
Trichophyton mentagrophytes type VII/VIII is a fungal infection of the skin. Cases of this new strain are being reported in gay men across Europe including the UK. Several cases have been reported in London.
The fungus is most easily passed on by skin to skin contact during sex. It can also be caught by sharing a towel or bedding that has been used by an affected person.
The rash may look similar to other fungal skin infections with circular red and scaly patches. However it can become very inflamed and develop painful spots or blisters filled with pus. The blisters may burst leaving a yellow crust. The rash most commonly appears on the face, penis, groin or buttocks.
Trichophyton can be confused with other conditions such as cold sores, herpes, psoriasis or Mpox. There are photos of the rash in the articles linked at bottom of this article.
Trichophyton can’t be diagnosed using a standard skin swab. It needs to be grown from flakes of skin
that are scraped from the rash. The sample is sent to a laboratory.
This strain of Trichophyton needs to be treated with antifungal tablets. (e.g. Itraconazole). It can take 2-3 months of tablets to clear the infection. Creams don’t work. Towels and bedding should be washed at 60 degrees. Shaving can spread the infection.
There have been cases of a new sexually transmitted infection in London. It’s not currently common, but should be considered if you have an unexplained painful rash that doesn’t get better.
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