Wolf's Isotopic Response: Trichophyton Rubrum Folliculitis Appearing on a Herpes Zoster Scar

    October 2000 in “ International Journal of Dermatology ”
    Yalçın Tüzün, Aydın İşçimen, Nadir Göksügür, Cüyan Demirkesen, Binnur Tüzün
    TLDR A fungal infection developed on a herpes scar and was successfully treated with antifungal medication.
    The document described a case study of a 37-year-old man who initially presented with herpes zoster, which was treated successfully with oral acyclovir. Five months later, he developed a pustular eruption in the same area, initially suspected to be recurrent herpes zoster or folliculitis. Methicillin-resistant Staphylococcus aureus was isolated, but treatment with antibiotics showed no improvement. Histopathologic examination revealed eosinophilic pustular dermatosis, and further investigation identified Trichophyton rubrum from a fungal culture. The patient was treated with itraconazole pulse therapy and cycloproxolamine cream, leading to significant improvement, with complete resolution of pustules after 5 months.
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