Abstract

ALBRECHT, M C; FRAENZA, L B  and  RAMONDA, G T. Onychomycosis by Acremonium Kiliense. Rev. argent. dermatol. [online]. 2007, vol.88, n.1, pp.40-44. ISSN 1851-300X.

The role of non-dermatophytic hyaline filamentous fungi as agents of onychomycosis has been documented in the last three decades by different authors, who have considered these fungi emerging opportunists. A 18-year-old female patient with trauma to the first toenail of the right foot came to the mycology laboratory. Serial samples of the lesion were collected for direct microscopic observation using 40% (w/v) potassium hydroxide (KOH) and for culture in Sabouraud agar, Lactrimel agar and DTM (dermatophyte selective medium). Microcultures were grown from the colonies recovered. Treatment with 8% ciclopirox nail lacquer, combined at the beginning with oral administration of itraconazole (100 mg a day), was implemented with good evolution. It is important to consider these opportunist fungi as potential etiological agents for nail mycosis, specially in immunosuppressed patients, since nail disease can be the entry point for the spread of infections.

Keywords : Onychomycosis; Non-dermatophytic hyaline filamentous fungi; Mold; Acremonium kiliense.

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