{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:54:20Z","timestamp":1788386060557,"version":"build-2803163510"},"reference-count":32,"publisher":"American Society for Microbiology","issue":"12","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["J Clin Microbiol"],"published-print":{"date-parts":[[2023,12,19]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Dermatophyte infections (a.k.a. ringworm, tinea) affect an estimated 20%\u201325% of the world\u2019s population. In North America, most dermatophytoses are caused by\n                    <jats:italic>Trichophyton rubrum<\/jats:italic>\n                    or\n                    <jats:italic>Trichophyton mentagrophytes<\/jats:italic>\n                    species complexes. Severe and antifungal-resistant dermatophytoses are a growing global public health problem. A new species of the\n                    <jats:italic>T. mentagrophytes<\/jats:italic>\n                    species complex,\n                    <jats:italic>Trichophyton indotineae<\/jats:italic>\n                    , has recently emerged and is notable for the severe infections it causes, its propensity for antifungal resistance, and its global spread. In this issue of the\n                    <jats:italic>Journal of Clinical Microbiology<\/jats:italic>\n                    , C. F. Ca\u00f1ete-Gibas, J. Mele, H. P. Patterson, et al. (J Clin Microbiol 61:e00562-23, 2023,\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.1128\/JCM.00562-23\" xlink:type=\"simple\">https:\/\/doi.org\/10.1128\/JCM.00562-23<\/jats:ext-link>\n                    ) summarize the results of speciation and AFST performed on North American dermatophyte isolates received at a fungal diagnostic reference laboratory. Within their collection, 18.6% of isolates were resistant to terbinafine (a first-line oral antifungal for dermatophytoses), and similar proportions of\n                    <jats:italic>T. rubrum<\/jats:italic>\n                    and\n                    <jats:italic>T. indotineae<\/jats:italic>\n                    demonstrated terbinafine resistance. The authors also found that\n                    <jats:italic>T. indotineae<\/jats:italic>\n                    has been present in North America since at least 2017. These findings highlight the importance of increased surveillance efforts to monitor trends in severe and antifungal-resistant dermatophytoses and the need for antifungal stewardship efforts, the success of which is contingent upon improving laboratory capacity for dermatophyte speciation and AFST.\n                  <\/jats:p>","DOI":"10.1128\/jcm.00903-23","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T09:00:33Z","timestamp":1701162033000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":32,"title":["<i>Trichophyton indotineae<\/i>\n                    and other terbinafine-resistant dermatophytes in North America"],"prefix":"10.1128","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4383-5994","authenticated-orcid":true,"given":"Shawn R.","family":"Lockhart","sequence":"first","affiliation":[{"name":"Mycotic Diseases Branch, Centers for Disease Control and Prevention , Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dallas J.","family":"Smith","sequence":"additional","affiliation":[{"name":"Mycotic Diseases Branch, Centers for Disease Control and Prevention , Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5054-7616","authenticated-orcid":false,"given":"Jeremy A. W.","family":"Gold","sequence":"additional","affiliation":[{"name":"Mycotic Diseases Branch, Centers for Disease Control and Prevention , Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2008.01606.x"},{"key":"e_1_3_2_3_2","first-page":"101","article-title":"Dermatophyte infections","volume":"67","author":"Hainer BL","year":"2003","unstructured":"Hainer BL . 2003. Dermatophyte infections. 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