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Journal of Clinical Microbiology, August 2008, p. 2641-2645, Vol. 46, No. 8
0095-1137/08/$08.00+0 doi:10.1128/JCM.00697-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Microbiology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt,1 Dermatology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt,2 Center for Medical Mycology, Department of Dermatology, University Hospitals of Cleveland, and Case Western Reserve University, Cleveland, Ohio3
Received 11 April 2008/ Returned for modification 7 June 2008/ Accepted 18 June 2008
Dermatophytes are fungi that belong to three genera: Epidermophyton, Microsporum, and Trichophyton. Identification of dermatophyte species is essential for appropriate diagnosis and treatment of dermatophytosis. Routine identification depends on macroscopic and microscopic morphology, which is time-consuming and does not identify dermatophyte strains. In this study, two PCR-based methods were compared for their abilities to identify 21 dermatophyte isolates obtained from Egyptian patients to the species and strain levels. The first method employed a two-step method: PCR amplification, using ITS1 and ITS4 as primers, followed by restriction enzyme digestion using the endonuclease MvaI. The second method employed a one-step approach employing the repetitive oligonucleotide (GACA)4 as a primer. Dermatophyte strains were also identified using a conventional culture method. Our results showed that the conventional culture method identified four species: Microsporum canis, Trichophyton mentagrophytes, Trichophyton rubrum, and Trichophyton violaceum. Moreover, both PCR methods agreed with the diagnosis made using the conventional approach. Furthermore, ITS1/ITS4-based PCR provided no strain differentiation, while (GACA)4-based PCR identified different varieties among the T. mentagrophytes isolates. Taken together, our results suggest that (GACA)4-based PCR has utility as a simple and rapid method for identification of dermatophyte species as well as utility for differentiation of T. mentagrophytes variants.
Published ahead of print on 25 June 2008.
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