Onychomycosis caused by Scopulariopsis brevicaulis, a case report

被引:1
作者
Sanz, A. Antonia [1 ]
Darlic, E. Valentina [2 ]
Carcamo, L. Ignacio [3 ]
nanco, M. Claudio [4 ]
Yagnam, D. Mathias [1 ,5 ]
机构
[1] Univ Andes, Santiago, Chile
[2] Hosp Dr Luis Tisne, Santiago, Chile
[3] Hosp Marco Chamorro Porvenir, Region De Magallanes, Chile
[4] Hosp Curico, Dermatol, Curico, Chile
[5] Clin MEDS, Dermatol, Santiago, Chile
来源
REVISTA MEDICA CLINICA LAS CONDES | 2023年 / 34卷 / 02期
关键词
Onychomycosis; Scopulariopsis; Antifungal Agents; SUSCEPTIBILITY; EPIDEMIOLOGY; TERBINAFINE; MOLDS;
D O I
10.1016/j.rmclc.2023.02.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Onychomycosis refers to a fungal nail infection of the hands and/or feet, constituting 50 to 60% of all onychopathies. The pathogens involved correspond mainly to dermatophytes, responsible for up to 70% of all infections. Infections by yeasts and non-dermatophytic agents are less frequent. Scopulariopsis brevicaulis, a non-dermatophytic fungus, is present in 2 to 5% of clinical samples, according to various studies. Onychomycosis caused by S. brevicaulis is difficult to manage as it is considered a multi-resistant pathogen with regards to traditional antifungal treatments. The treatment of choice for these cases is controversial, since there are discrepancies in the studies evaluating the susceptibility of S. brevicaulis to various antifungal agents. However, a combination drug therapywith terbinafine and azole drugs such as itraconazole is suggested since they have shown a synergistic effect in the management of this microorganism. The objective of this publication is to present information about this rare pathogen in a very frequent pathology.
引用
收藏
页码:165 / 168
页数:4
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