A Probable Case of Alternarial Onychomycosis
Abstract
Alternaria is a common saprophyte that is not usually pathogenic in humans. Alternarial onychomycosis is very rare and it is difficult to make a diagnosis of onycholycosis by moulds. In Korean literature, clinical findings of onychomycosis by Scopulariopsis brevicaulis, Aspergillus sp., Fusarium sp. were reported. But clinical finding of alternarial onychomycosis has not been reported. We report a probable case of alternarial onychomycosis in a 67-year-old Korean farmer. Some of the infected nails showed paronychia, onychia, loss of nail plate, black discoloration of proximal part of the nail plate and proximal nail folds. And some of them showed combined findings of proximal subungual onychomycosis and distal and lateral subungual onychomycosis. Repeated microscopic findings showing typical macroconidia and brownish hyphae of Alternaria were observed on three consecutive KOH smears with one-week interval. But cultures were not successful. Extraction of nail plates with oral antifungal and antibiotic treatment was only partially effective.
Keywords
Alternaria Alternarial onychomycosis Non-dermatophytic onychomycosis Total dystrophic onychomycosis
KJMM
2007 December;12(4):203-207(5). Epub 2016 February 19
Copyright © 2007 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Young Bok Lee; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Hyun Jeong Park; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Jun Young Lee; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Baik Kee Cho; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Corresponding
Baik Kee Cho, Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. Tel: (02) 3779-1231, Fax: (02) 783-7604, e-mail: bkcho@catholic.ac.kr
Publication history
Acknowledgements
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Young Bok Lee
Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Hyun Jeong Park
Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Jun Young Lee
Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Baik Kee Cho
Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
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