Pustular tinea manuum from Trichophyton erinacei infection

Trichophyton erinacei is a member of the Trichophyton mentagrophytes complex, a zoonotic dermatophyte that is very rarely isolated as a human pathogen. It often causes a localized itchy rash at the size of contact, such as the extremities, and is typically reported in the context of hedgehog exposure.1, 2, 3, 4, 5, 6, 7, 8 Epidemiologically, T erinacei was first recognized in New Zealand then in Europe, Africa, and Australia. Case reports existed in East Asia since the early 2000s in Japan,7 Korea,1 and Taiwan.5 We report the first case, to our knowledge, of T erinacei arising in Southeast Asia in the context of hedgehog exposure.