Table 3.
Arguments supporting and opposing the simultaneous recognition of T. interdigitale and T. mentagrophytes
Arguments | Conclusions | References |
---|---|---|
Monophyly: multilocus phylogeny or phylogenomic data | TI and TM are not monophyletic | ITS + actin + tubb (Beguin et al.9); ITS + LSU + tubb (Pchelin et al.64); ITS + LSU + tubb + 60S L10 (de Hoog et al.10); ITS+ LSU + tubb (Suh et al.23); ITS + tef1-α (Tang et al.12); ITS + tef1-α + tubb (this study); phylogenomic data: Pchelin et al.59; Singh et al.65 |
Unique morphology (strains identified using molecular methods) | TI and TM cannot be reliably differentiated in practice (no strong features without significant overlap) | Heidemann et al.4; Dhib et al.22; Frías-De-León et al.45; Tang et al.12; this study |
Unique clinical manifestation | TI is more frequently associated with onychomycosis and tinea pedis compared with TM | Heidemann et al.4; Dhib et al.22; Pchelin et al.59; Taghipour et al 17; Klinger et al.3; this study |
Source of infection | TI is almost exclusively anthropophilic and TM is predominantly zoophilic | Heidemann et al.4; Nenoff et al.19; Taghipour et al.17; Klinger et al.3 |
Differentiation of TI and TM is important for treatment choice | Treatment guidelines for specific clinical units (tinea pedis, onychomycosis, etc.) and antifungal susceptibility testing are superior to species identification | See Discussion |
Availability of simple and reliable molecular identification techniques for clinical practice | Identification relies on ITS genotyping (time-consuming and requires expertise); MALDI-TOF MS does not reliably distinguish TI and TM | Klinger et al.3; Uhrlaß et al.16; Suh et al.23; Normand et al.62; Tang et al.61 |
MALDI-TOF MS, Matrix-assisted laser desorption ionization-time of flight mass spectrometry; TI, T. interdigitale; TM, T. mentagrophytes.