Abstract

Although dermatophytes are still the main etiologic agents of onychomycosis, some species of nondermatophytic molds and yeasts are also capable of invading the nails. Fusarium (F.) solani is a nondermatophytic mold which is saprophytic fungus in soil. Onychomycosis due to Fusarium species almost always involve the great toenails, particularly in the presence of traumatic or dystrophic abnormalities. We report a case of toenail onychomycosis caused by F. solani in a 42-year-old female. The patient presented with typical distal subungual onychomycosis. Direct microscopic examination of scrapings on the potassium hydroxide preparation revealed fungal elements and repeated cultures on Sabouraud's dextrose agar showed the same whitish to cream-colored, cottony colonies. Multiple, sickle-shaped, multiseptate macroconidia and long, slender monophialides were observed in the slide culture. We confirmed F. solani by gross and light microscopic morphology of the colony. The patient was treated with 250 mg of terbinafine daily for 3 months.

Keywords

Onychomycosis Fusarium solani

KJMM 2003 March;8(1):21-25(5). Epub 2016 February 20
Copyright © 2003 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Sung Wook Lim; Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea
Soon Wook Kwon; Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea
Moo Kyu Suh; Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea
Ho Chung Lee; Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea
Jin Hyouk Choi; Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea
Jeong Woo Lee; Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea
Gyoung Yim Ha; Departments of Clinical Pathology, College of Medicine, Dongguk University, Kyongju, Korea

Corresponding

Moo Kyu Suh, Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea. Tel: (054) 770-8269, Fax: (054) 773-1581, e-mail: mksuhmd@hanmail.net

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.

Sung Wook Lim

Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea

Soon Wook Kwon

Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea

Moo Kyu Suh

Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea

Ho Chung Lee

Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea

Jin Hyouk Choi

Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea

Jeong Woo Lee

Departments of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea

Gyoung Yim Ha

Departments of Clinical Pathology, College of Medicine, Dongguk University, Kyongju, Korea

Since epub date 2016 February 20