# Potential Sexual Transmission of Antifungal-Resistant Trichophyton indotineae

## TL;DR

A woman in Pennsylvania contracted a rare antifungal-resistant fungal infection, possibly through sexual contact, which responded to itraconazole.

## Contribution

First reported case of potential sexual transmission of antifungal-resistant Trichophyton indotineae.

## Key findings

- Trichophyton indotineae caused tinea genitalis in an immunocompetent woman.
- The infection was resistant to terbinafine but improved with itraconazole.
- The case suggests possible sexual transmission of the fungus.

## Abstract

We describe a case of tinea genitalis in an immunocompetent woman in Pennsylvania, USA. Infection was caused by Trichophyton indotineae potentially acquired through sexual contact. The fungus was resistant to terbinafine (first-line antifungal) but improved with itraconazole. Clinicians should be aware of T. indotineae as a potential cause of antifungal-resistant genital lesions.