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Onychomycosis due to Onychocola canadensis
N B O'Donoghue1, M K Moore, D Creamer
1Department of Dermatology, King's College Hospital, and Department of Mycology, St John's Institute of Dermatology, Kings College, London, UK. nualadonoghue@doctors.org.uk
Clinical and Experimental Dermatology
|June 5, 2003
Summary
Onychocola canadensis, a rare mould, can cause nail infections (onychomycosis). This case highlights a patient resistant to standard terbinafine treatment, indicating potential challenges in managing this uncommon fungal infection.
Area of Science:
- Medical Mycology
- Dermatology
Background:
- Onychocola canadensis is an uncommon nondermatophyte mould.
- It is known to cause onychomycosis and rarely tinea manuum, primarily affecting elderly individuals in temperate regions.
Observation:
- A case of onychomycosis caused by Onychocola canadensis is presented.
- The affected patient was an elderly individual.
Findings:
- The patient's onychomycosis did not respond to a 12-week course of terbinafine 250 mg once daily.
- This suggests potential terbinafine resistance in Onychocola canadensis-induced onychomycosis.
Implications:
- This case underscores the need for considering alternative or combination therapies for Onychocola canadensis onychomycosis.
- Further research into treatment strategies for this uncommon fungal infection is warranted.
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