Fusarium spp. is able to grow and invade healthy human nails as a single source of nutrients

J Galletti1, M Negri, F L Grassi

  • 1Medical Mycology Laboratory, Departamento de Análises Clínicas e Biomedicina da Universidade Estadual de Maringá, Maringá, PR, Brazil.

Insights

Fusarium species can cause onychomycosis by using human nail keratin as their sole nutrient source. This study investigated Fusarium

Area of Science:

  • Medical Mycology
  • Infectious Diseases

Background:

  • Onychomycosis is a fungal nail infection, with Fusarium species emerging as significant causative agents.
  • The keratinolytic potential of Fusarium spp. in onychomycosis pathogenesis remains incompletely understood.

Purpose of the Study:

  • To determine if Fusarium species can utilize human nail as a sole nutrient source.
  • To conduct an epidemiological assessment of Fusarium onychomycosis.
  • To evaluate the antifungal susceptibility of isolated Fusarium species.

Main Methods:

  • In vitro studies assessing Fusarium growth on human nails without additional nutrients.
  • Epidemiological analysis of Fusarium isolates from onychomycosis patients.
  • Antifungal susceptibility testing against common antifungal agents.

Main Results:

  • Fusarium species were identified in 12.4% of onychomycosis cases, being the most prevalent non-dermatophyte mold.
  • Fusarium oxysporum, Fusarium solani, and Fusarium subglutinans were the most frequently isolated species.
  • Fusarium demonstrated the ability to grow in vitro and invade healthy nails, confirming keratinolytic activity.
  • Fluconazole showed no activity, while terbinafine efficacy varied by species.

Conclusions:

  • Fusarium species are confirmed keratinolytic pathogens capable of causing onychomycosis.
  • The study provides insights into the pathogenesis of Fusarium onychomycosis.
  • Findings support the development of targeted antifungal strategies for Fusarium nail infections.

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