Onychomycosis due to opportunistic molds
Abstract BACKGROUND: Onychomycosis are caused by dermatophytes and Candida, but rarely by non- dermatophyte molds. These opportunistic agents are filamentous fungi found as soil and plant pathogens. OBJECTIVES: To determine the frequency of opportunistic molds in onychomycosis. METHODS: A retrospect...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Dermatologia
2015-06-01
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| Series: | Anais Brasileiros de Dermatologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000300334&tlng=en |
| _version_ | 1798015282411732992 |
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| author | Erick Obed Martínez-Herrera Stefanie Arroyo-Camarena Diana Luz Tejada-García Carlos Francisco Porras-López Roberto Arenas |
| author_facet | Erick Obed Martínez-Herrera Stefanie Arroyo-Camarena Diana Luz Tejada-García Carlos Francisco Porras-López Roberto Arenas |
| author_sort | Erick Obed Martínez-Herrera |
| collection | DOAJ |
| description | Abstract BACKGROUND: Onychomycosis are caused by dermatophytes and Candida, but rarely by non- dermatophyte molds. These opportunistic agents are filamentous fungi found as soil and plant pathogens. OBJECTIVES: To determine the frequency of opportunistic molds in onychomycosis. METHODS: A retrospective analysis of 4,220 cases with onychomycosis, diagnosed in a 39-month period at the Institute of Dermatology and Skin surgery "Prof. Dr. Fernando A. Cordero C." in Guatemala City, and confirmed with a positive KOH test and culture. RESULTS: 32 cases (0.76%) of onychomycosis caused by opportunistic molds were confirmed. The most affected age group ranged from 41 to 65 years (15 patients, 46.9%) and females were more commonly affected (21 cases, 65.6%) than males. Lateral and distal subungual onychomycosis (OSD-L) was detected in 20 cases (62.5%). The microscopic examination with KOH showed filaments in 19 cases (59.4%), dermatophytoma in 9 cases (28.1%), spores in 2 cases (6.25%), and filaments and spores in 2 cases (6.25%). Etiologic agents: Aspergillus sp., 11 cases (34.4%); Scopulariopsis brevicaulis, 8 cases (25.0%); Cladosporium sp., 3 cases (9.4%); Acremonium sp., 2 cases (6.25%); Paecilomyces sp., 2 cases (6.25%); Tritirachium oryzae, 2 cases (6.25%); Fusarium sp., Phialophora sp., Rhizopus sp. and Alternaria alternate, 1 case (3.1%) each. CONCLUSIONS: We found onychomycosis by opportunistic molds in 0.76% of the cases and DLSO was present in 62.5%. The most frequent isolated etiological agents were: Aspergillus sp. and Scopulariopsis brevicaulis. |
| first_indexed | 2024-04-11T15:31:58Z |
| format | Article |
| id | doaj.art-fd9822f020574bc2b5bd26051dcb1c31 |
| institution | Directory Open Access Journal |
| issn | 0365-0596 |
| language | English |
| last_indexed | 2024-04-11T15:31:58Z |
| publishDate | 2015-06-01 |
| publisher | Sociedade Brasileira de Dermatologia |
| record_format | Article |
| series | Anais Brasileiros de Dermatologia |
| spelling | doaj.art-fd9822f020574bc2b5bd26051dcb1c312022-12-22T04:16:07ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962015-06-0190333433710.1590/abd1806-4841.20153521Onychomycosis due to opportunistic moldsErick Obed Martínez-HerreraStefanie Arroyo-CamarenaDiana Luz Tejada-GarcíaCarlos Francisco Porras-LópezRoberto ArenasAbstract BACKGROUND: Onychomycosis are caused by dermatophytes and Candida, but rarely by non- dermatophyte molds. These opportunistic agents are filamentous fungi found as soil and plant pathogens. OBJECTIVES: To determine the frequency of opportunistic molds in onychomycosis. METHODS: A retrospective analysis of 4,220 cases with onychomycosis, diagnosed in a 39-month period at the Institute of Dermatology and Skin surgery "Prof. Dr. Fernando A. Cordero C." in Guatemala City, and confirmed with a positive KOH test and culture. RESULTS: 32 cases (0.76%) of onychomycosis caused by opportunistic molds were confirmed. The most affected age group ranged from 41 to 65 years (15 patients, 46.9%) and females were more commonly affected (21 cases, 65.6%) than males. Lateral and distal subungual onychomycosis (OSD-L) was detected in 20 cases (62.5%). The microscopic examination with KOH showed filaments in 19 cases (59.4%), dermatophytoma in 9 cases (28.1%), spores in 2 cases (6.25%), and filaments and spores in 2 cases (6.25%). Etiologic agents: Aspergillus sp., 11 cases (34.4%); Scopulariopsis brevicaulis, 8 cases (25.0%); Cladosporium sp., 3 cases (9.4%); Acremonium sp., 2 cases (6.25%); Paecilomyces sp., 2 cases (6.25%); Tritirachium oryzae, 2 cases (6.25%); Fusarium sp., Phialophora sp., Rhizopus sp. and Alternaria alternate, 1 case (3.1%) each. CONCLUSIONS: We found onychomycosis by opportunistic molds in 0.76% of the cases and DLSO was present in 62.5%. The most frequent isolated etiological agents were: Aspergillus sp. and Scopulariopsis brevicaulis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000300334&tlng=enFungiOnychomycosisOpportunistic infections |
| spellingShingle | Erick Obed Martínez-Herrera Stefanie Arroyo-Camarena Diana Luz Tejada-García Carlos Francisco Porras-López Roberto Arenas Onychomycosis due to opportunistic molds Anais Brasileiros de Dermatologia Fungi Onychomycosis Opportunistic infections |
| title | Onychomycosis due to opportunistic molds |
| title_full | Onychomycosis due to opportunistic molds |
| title_fullStr | Onychomycosis due to opportunistic molds |
| title_full_unstemmed | Onychomycosis due to opportunistic molds |
| title_short | Onychomycosis due to opportunistic molds |
| title_sort | onychomycosis due to opportunistic molds |
| topic | Fungi Onychomycosis Opportunistic infections |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000300334&tlng=en |
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