Evidence map›Paper›PMID 37335400›Full record

ArticleMycopathologia2023

The Domestic Isolation of Terbinafine- and Itraconazole-Resistant Trichophyton indotineae in Chinese Mainland.

Xue Kong, Ge Song, Huan Mei, Hailin Zheng, Chao Tang, Sybren de Hoog, Xiaofang Li, Xiaodong She, Weida Liu, Guanzhao Liang

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Mycopathologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Deciphering the genomic landscape ofMicrobial genomics · 2026
    Article
  5. Article
  6. Article
  7. Trichophyton indotineae: Epidemiology, antifungal resistance and antifungal stewardship strategies.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Review
  8. Emerging antifungal resistance inEmerging microbes & infections · 2025
    Article
  9. Article
  10. Review
  11. First Report ofJournal of fungi (Basel, Switzerland) · 2025
    Article
  12. Cutaneous Infections Caused byJournal of clinical medicine · 2025
    Review
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Xue Kong *Department of Medical Mycology, Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, China.
Ge Song *Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Huan MeiDepartment of Medical Mycology, Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, China.
Hailin ZhengDepartment of Medical Mycology, Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, China.
Chao TangCenter of Expertise in Mycology, Radboud University Medical Center, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Sybren de HoogCenter of Expertise in Mycology, Radboud University Medical Center, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Xiaofang LiDepartment of Medical Mycology, Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, China.
Xiaodong SheDepartment of Medical Mycology, Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, China.
Weida LiuDepartment of Medical Mycology, Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, China. liuwd@pumcderm.cams.cn.
Guanzhao LiangDepartment of Medical Mycology, Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, China. guanzhaoguan@126.com.ORCID http://orcid.org/0000-0002-5330-8864
Chinese Academy of Medical Sciences & Peking Union Medical College · CNRadboud University Nijmegen · NLCapital Medical University · CN

Funding

CAMS Innovation Fund for Medical Sciences 2021-I2M-1-039CAMS Innovation Fund for Medical Sciences CIFMSDouble-Innovation Doctor Program of Jiangsu province JSSCBS20221924National Natural Science Foundation of China 81972949National Science and Technology Infrastructure of China Center NPRC-32National Science and Technology Infrastructure of China National Pathogen Resourcethe basic scientific research fund projects of Chinese Academy of Medical Sciences 2021-PT310-006the National Key Research and Development Program of China 2022YFC2504800the National Key Research and Development Program of China 2022YFC2504804
6 · The paper itself

Abstract

backgroundTrichophyton indotineae, a new species of dermatophytes, has become a significant concern in treating dermatophytosis due to the high level of terbinafine resistance reported in India and even worldwide.

objectivesThis study aimed to report the terbinafine- and itraconazole-resistant T. indotineae in Chinese mainland, by identifying the phylogenetic classification of the isolate strain, and detecting the drug resistance, gene mutation and expression. PATIENTS/

methodsThe skin scales of the patient were cultured on SDA and the isolate was authenticated by DNA sequencing and MALDI-TOF MS. Antifungal susceptibility testing was performed following the M38-A2 CLSI protocol to examine the MICs values of terbinafine, itraconazole, fluconazole, etc. The strain was screened for mutations in the squalene epoxidase (SQLE) gene by Sanger sequencing and detected the expression of CYP51A and CYP51B by qRT-PCR.

resultsA multi-resistant ITS genotype VIII sibling of the T. mentagrophytes complex (T. indotineae) was isolated in Chinese mainland. The strain harbored high terbinafine MIC of > 32 μg/mL and itraconazole MIC of 1.0 μg/mL, which was identified a mutation in the squalene epoxidase gene with amino acid substitution (Phe

conclusionsThe first domestic strain of terbinafine- and itraconazole-resistant T. indotineae from a patient in Chinese mainland was isolated. Itraconazole pulse therapy can be an effective method for the treatment of T. indotineae.

Indexed as

Drug Resistance, FungalItraconazoleTerbinafineTrichophytonAntifungal AgentsHumansMicrobial Sensitivity TestsPhylogenySqualene MonooxygenaseAntifungal AgentsItraconazoleSqualene MonooxygenaseTerbinafineAzole resistanceTerbinafine resistanceTrichophyton indotineae

Identifiers

PMID37335400
OpenAlexW4381167512

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.