Outbreak of Dermatophilus congolensis skin infection among contact sport practitioners, Norway, summer 2025

Dermatophilus congolensis is a zoonotic gram-positive bacterium causing dermatophilosis, a skin infection primarily affecting animals and uncommonly reported in humans. Although human infections have traditionally been associated with animal contact, recent reports suggest alternative transmission pathways. We investigated an outbreak among contact sport athletes in Trondheim, Norway, during July to September 2025, using structured interviews and whole-genome sequencing. Nine confirmed cases were identified. Symptoms were mild and consisted mainly of pustular lesions affecting the face, arms, back, and chest. None of the cases reported animal contact. Genomic analysis confirmed species identity and showed that outbreak isolates were highly related, differing by only 0-7 core-genome single nucleotide polymorphisms. The Trondheim isolates clustered with strains from recent outbreaks in Spain and France, suggesting international dissemination of a shared clone. These findings identify contact sports as a potential setting for transmission of human dermatophilosis and highlight the value of genomic surveillance for outbreak investigation.