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Onychomycosis caused by Fusarium spp. In Dakar, Senegal : Epidemiological, Clinical and Mycological study

Fusarium spp. represent 9 to 44% of onychomycoses caused by fungi other than dermatophytes. is retrospective study describes 17 cases of Fusarium onychomycosis diagnosed at the Laboratory of Parasitology and Mycology of Le Dantec University Hospital in Dakar, Senegal, from 2014 to 2016. It included all patients received in the laboratory for suspicion of onychomycosis between January 1, 2014, and December 31, 2016. Diagnosis was based on mycological examination including direct examination and culture. Mycological analysis was considered positive when direct examination and culture were positive a er at least one repeat. Seventeen Fusarium onychomycosis cases representing 12.9% of all onychomycoses reported were diagnosed. ere were 5 cases on the ngernails and 12 on the toenails in 6 males and 11 females, and the mean age was 44 years (range: 26–64). Onychomycoses were diagnosed in immunocompetent patients except in a diabetic patient. e mean duration of lesions was 4.9 years (range: 1–15), and distal subungual onychomycosis was predominant. Almost all patients were from suburban areas of Dakar region. e most frequent species isolated belong to Fusarium solani complex. Because of the risk of disseminated infection in immunocompromised patients, realization of susceptibility tests is necessary to ensure better therapeutic management.

Auteur(s) : Diongue K, Ndiaye M, Seck M.C, Diallo M.A, Badiane A.S, Ndiaye D
Année de publication : 2017
Revue : Dermatology Research and Practice
Type : Article
Mise en ligne par : SECK Mame Cheikh