Pustular eruption on the palm

A preschool child presented with a three day history of painless, non-pruritic pustules on her right palm (fig1). She was otherwise well, with no relevant medical history. The family reported keeping a pet rabbit at home.bmj;393/apr02_9/e086736/F1F1f1Fig 1Physical examination showed erythema, vesicles, and pustules localised to the ulnar aspect of the right palm. Bacterial culture of the pustule fluid showed negative results, whereas the results of the fungal culture were positive for Trichophyton mentagrophytes. Direct microscopic examination of skin scrapings showed abundant fungal hyphae. A fur sample taken from the rabbit was positive for the same fungal species when tested with a fungal culture.A diagnosis of inflammatory tinea manuum was made.T. mentagrophytes is a common causative pathogen in dermatophytosis, which affects about 25% of the global population, with markedly higher prevalence in tropical and subtropical regions.1Rodents and rabbits serve as primary reservoir hosts for zoophilic T. mentagrophytes. When humans are infected,…