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Onycholysis and Chromonychia: A Case Caused by Trichosporon inkin
María Fernanda Ortega-Springall1, Sara Arroyo-Escalante1, Roberto Arenas1
1Mycology Section, Department of Dermatology, 'Dr. Manuel Gea Gonzalez' General Hospital, Mexico City, Mexico.
Abstract:
Yeasts cause only 5-10% of onychomycosis; the most common yeast is Candida albicans, and rarely Trichosporon spp. is found. Recently, it has become an important cause of fungemia with a high mortality rate in immunocompromised patients. Superficial infections caused by Trichosporon spp., including piedra and onychomycosis, occur in immunocompetent patients. Herein, we report a case of a fungal nail infection characterized by onycholysis and chromonychia caused by Trichosporon inkin.
Insights
Trichosporon inkin is a rare cause of fungal nail infections (onychomycosis). This case highlights its occurrence in an immunocompetent patient, presenting with nail discoloration and separation.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Onychomycosis, a fungal nail infection, is typically caused by dermatophytes, with yeasts accounting for only 5-10% of cases.
- Candida albicans is the most common yeast pathogen in onychomycosis, while Trichosporon species are rarely implicated.
- Trichosporon species are increasingly recognized as a cause of fungemia in immunocompromised individuals, but can also cause superficial infections like onychomycosis in immunocompetent hosts.
Purpose of the Study:
- To report a case of onychomycosis caused by Trichosporon inkin.
- To describe the clinical presentation of fungal nail infection by Trichosporon inkin.
Main Methods:
- Case report detailing clinical presentation and diagnosis of a fungal nail infection.
Main Results:
- The patient presented with onycholysis (nail separation) and chromonychia (nail discoloration).
- The causative agent was identified as Trichosporon inkin.
Conclusions:
- Trichosporon inkin can cause superficial nail infections, such as onychomycosis, in immunocompetent individuals.
- This case expands the spectrum of clinical manifestations attributed to Trichosporon species.
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