Periocular tinea caused by zoonotic Trichophyton benhamiae

Abstract

A 52-year-old immunocompetent woman was referred to the outpatient dermatology department of the Erasmus University Medical Center (Rotterdam, Netherlands) with a large, sharply demarcated erythematous plaque with yellow crustae around the right eye and on the upper right eyelid, without systemic symptoms and despite previous treatment (figure). Up until the appointment at our department, she was treated with oral valacyclovir (1000 mg three times a day) for 15 days, oral erythromycin (500 mg four times a day) for 6 days, and both fusidic acid cream and acyclovir cream two times a day.