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Published on: October 6, 2018
Toenail onychomycosis by Trichophyton rubrum and concurrent infestation with Tyrophagus putrescentiae
Valentina Fabrizi1, Ivana Zacconi1, Mario Principato2
1Dipartimento di Scienze Chirurgiche e Biomediche, Clinica Dermatologica di Terni, Università degli Studi di Perugia, Terni, Italy.
Abstract:
A remarkable case of onychomycosis by Trichophyton (T.) rubrum combined with nail infestation by Tyrophagus (T.) putrescentiae in an elderly diabetic farmer is described and discussed. Large numbers of eggs and mites in all development stages were present in nail debris, reflecting active reproduction on site. Treatment with ivermectin 0.1% cream and environmental decontamination cleared the mite infestation, while onychomycosis responded well to oral terbinafine and ciclopirox 8% nail lacquer. Such a combination of onychomycosis and mite infestation of the same nail is an exceptional finding reported only twice in the literature.
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