Trichophyton tonsurans associ é à Candida non albicans lors d’une onychomycose des mains, à propos d’un cas au Maroc

Discussion–conclusion Notre observation a fait surtout le point sur l’identification d’une espèce, décrite une seule fois au Maroc comme agent d’onychomycose des pieds. Une éventuelle émergence de cette espèce dans notre pays n’est pas loin d’être possible. Introduction Trichophyton tonsurans is an anthropophilic dermatophyte, frequent in the USA and in Asia where it is responsible for causing tinea capitis. At present, we attend an emergence of this species in certain regions where it was not or little met. Here, we report a case of onychomycosis of the hand due to T. tonsurans associated with non-albicans Candida species at an adult woman. Observation The patient is a 62-year-old woman, with hypertension and diabetes. She reports the rather frequent use of chemical cleaners for the housework. She presented one year previously a distal onycholysis of the last four fingers of the left hand. The clinical examination objectified a presence of intertrigo in the second interdigital space. The mycological examination showed at the direct examination mycelial elements and the culture allowed the isolation of T. tonsurans associated with non-albicans Candida species. Discussion–conclusion Our observation highlights especially the identification of a species, which has been described only once in Morocco about a case with onychomycosis of the feet. A possible emergence of this species in our country is not far from being possible.
Source: Journal of Medical Mycology - Category: Biology Source Type: research