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Does damage from a source with wither use -1/-1 counters even if the source also has deathtouch?

Short answer
Yes. Wither and deathtouch are independent; wither still causes damage to be dealt as -1/-1 counters regardless of deathtouch.

Wither (CR 702.79) causes all damage that source deals to creatures to be dealt as -1/-1 counters instead of regular damage. This replacement effect applies whenever the source deals damage to a creature, period — it does not interact with or depend on deathtouch.

Deathtouch (CR 702.2) is a separate ability stating that any amount of damage that source deals to a creature is enough to destroy it. It does not change how damage is marked; it only affects the threshold for lethal damage.

When a source has both abilities, wither's replacement effect still fires, so damage is still dealt as -1/-1 counters (CR 702.79a). Deathtouch then still applies — since even 1 damage (placed as a -1/-1 counter) from a deathtouch source is considered lethal, the creature will be destroyed at end-of-combat state-based actions (CR 704.5g), and the -1/-1 counter also remains on the creature.

Example: Your 2/2 creature with both wither and deathtouch deals 1 damage to an opponent's 4/4. That 1 damage is replaced by a -1/-1 counter (wither), making it a 3/3. Because the source had deathtouch, that 1 damage is considered lethal (CR 702.2b), so state-based actions destroy the 4/4. The -1/-1 counter placement and the deathtouch lethality both apply simultaneously.

So yes — wither always converts damage to -1/-1 counters on creatures, and having deathtouch on the same source does not suppress or override that. Both abilities function independently.

HIGH confidence CR 702.2 CR 702.2b CR 702.79 CR 702.79a CR 704.5g
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