This narrative review presents a comprehensive overview of the diagnosis and management of pityriasis versicolor (PV), a common superficial fungal infection caused by the yeast Malassezia. PV is characterised by scaly hypopigmented or hyperpigmented patches, primarily affecting the upper trunk, neck, and upper arms. Regarding commensal interactions, Malassezia utilises nutrient sources without affecting the human host. In cases of pathogenicity, Malassezia can directly harm the host via virulence factors or toxins, or indirectly by triggering damaging host responses. The diagnosis typically relies on recognising characteristic clinical features. Due to the wide variability in its clinical presentation, recognising the differential diagnosis is critical. In this paper, we discuss the clinical differentials, with their dermatoscopic presentation, but also describe a range of helpful diagnostic techniques (microscopy, conventional and ultraviolet-induced fluorescence dermatoscopy, and confocal microscopy). Topical therapies are the primary treatment for PV, encompassing non-specific antifungal agents like sulphur with salicylic acid, selenium sulphide 2.5%, and zinc pyrithione. Additionally, specific topical antifungal medications with either fungicidal or fungistatic properties may also be incorporated into the topical treatment regimen, such as imidazoles, allylamines, and ciclopirox olamine. Systemic therapies might occasionally be used. Patient education and the promotion of good personal hygiene are pivotal to reduce the risk of recurrence. In recurrent cases, particularly during warmer and more humid periods, prolonged prophylaxis with topical agents should be considered.

Dermatophytosis in cattle is most often caused by infection with Trichophyton verrucosum (T. verrucosum), but also with Trichophyton rubrum (T. rubrum), Trichophyton mentagrophytes (T. mentagrophytes) and others, regardless of the geographical zone. The infection is transmitted through direct contact between animals as well as infected environmental elements. The human-to-human transmission of fungal infection is also possible.. This retrospective study was conducted based on a detailed analysis of the results of the mycological examination and medical documentation of 40 patients from Greater Poland, diagnosed with cattle-to-human dermatophytoses from March 2017 to November 2023. T. verrucosum accounted for 97.5% of infections and T. mentagrophytes for 2.5%; no other species of dermatophytes from cattle were found. Superficial skin mycosis in humans associated with cattle was more often diagnosed in small children and men directly engaged in cattle breeding. The dominant etiological factor of the superficial fungal skin infection was T. verrucosum, which mainly affected the scalp in children and upper limbs in adult men. In relation to the cattle population in Greater Poland, the number of cases of superficial skin mycoses among cattle breeders and their family members over the period of more than six and a half years of observation does not seem to be high.

Dermatophytosis is a superficial fungal skin infection common in humans around the world and is one of the many zoonotic skin diseases that cat owners are at risk of contracting. This retrospective study was conducted based on a detailed analysis of the results of mycological examination and medical documentation of 56 patients diagnosed with cat-to-human dermatophytoses from January 2017 to July 2022. Zoonotic mycoses were diagnosed more frequently in young people and women. In children, lesions most often occurred in the scalp area, and in adults, in the glabrous skin area. Skin infections caused by Microsporum canis (M. canis) prevailed and were confirmed in 47 patients (83.9%). Trichophyton mentagrophytes (T. mentagrophytes) was found in nine (16.1%) patients. M. canis predominantly caused infections of the scalp, followed by lower limb infections. Hairy scalps were almost exclusively involved in children. The odds of diagnosing M. canis infection compared to T. mentagrophytes infection was significantly higher in the head than in other regions, especially among children. The positive predictive value of a direct macroscopic examination was relatively low.

Sporotrichosis, caused by Sporothrix schenckii, typically infects humans through skin trauma, leading to nodules or ulcers that complicate diagnosis. Rare forms, such as disseminated cutaneous sporotrichosis, occur more often in immunosuppressed patients or those with diabetes or alcohol use disorder. We report a 49-year-old male patient with type 2 diabetes mellitus who developed painful ulcerations on his lower limbs following a cat scratch. A deep tissue biopsy confirmed mycelial hyphae, and culture identified Sporothrix spp. A biopsy from a left thigh lesion revealed syphilitic exanthem findings. Treponema pallidum antibodies were positive, with a TPHA titer of 1 : 320. The patient was diagnosed with sporotrichosis and late latent syphilis, treated with benzathine penicillin for syphilis and itraconazole for sporotrichosis, resulting in significant improvement after two months. This case underscores the importance of mycological diagnostics – deep tissue biopsy, culture, and histopathological analysis – in distinguishing sporotrichosis from similar conditions, especially in immunocompromised patients with unresponsive lesions.