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Published on: April 19, 2017
Non-dermatophyte onychomycosis
Aditya K Gupta1, Jennifer E Ryder, Robert Baran
1Division of Dermatology, Department of Medicine, Sunnybrook and Women's College Health Science Center (Sunnybrook site), Toronto, Canada. agupta@execulink.com
Abstract:
Non-dermatophyte organisms are becoming increasingly prevalent in onychomycosis. This apparent emergence might be an artifact of improved diagnostic techniques and increased awareness that these fungi are potential etiologic agents. It is important to bear in mind that all isolated organisms should be evaluated as potential pathogens when diagnosing fungal infections, especially given the increasing use of immunosuppressive drugs and the increasing numbers of chronically immunocompromised individuals. While many patients with non-dermatophyte mold onychomycosis will respond to oral or topical antifungal therapy, poor or incomplete response might still be expected in some patients.
Insights
Non-dermatophyte molds are increasingly found in nail fungus (onychomycosis), possibly due to better diagnostics. While treatments exist, some patients may not fully recover from these infections.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Non-dermatophyte organisms are increasingly identified as causes of onychomycosis.
- This rise may be linked to enhanced diagnostic methods and greater recognition of these fungi as pathogens.
- The growing population of immunocompromised individuals necessitates careful evaluation of all isolated organisms.
Purpose of the Study:
- To highlight the increasing prevalence of non-dermatophyte molds in onychomycosis.
- To emphasize the importance of considering all fungal isolates as potential pathogens.
- To discuss treatment responses in non-dermatophyte mold onychomycosis.
Main Methods:
- Review of current literature on onychomycosis and non-dermatophyte fungal infections.
- Analysis of diagnostic trends and awareness of fungal etiologic agents.
- Evaluation of clinical outcomes for patients with non-dermatophyte mold onychomycosis.
Main Results:
- Non-dermatophyte organisms are a growing cause of onychomycosis.
- Improved diagnostics and awareness contribute to the apparent increase.
- Some patients may experience poor or incomplete response to antifungal therapies.
Conclusions:
- Non-dermatophyte molds are significant pathogens in onychomycosis.
- Vigilant mycological diagnosis is crucial, especially in immunocompromised patients.
- Treatment outcomes for non-dermatophyte mold onychomycosis can be variable.
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