Trichophyton erinacei Onychomycosis: The First to Evidence a Proximal Subungual Onychomycosis Pattern

Trichophyton erinacei is an emerging cause of dermatophyte infections, which are frequently isolated from hedgehogs. Nail infections from T. erinacei are rarely reported. We describe the case of a 23-year-old Thai female who had a history of systemic lupus erythematosus with lupus nephritis type III...

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Main Authors: Sutasinee Phaitoonwattanakij (Author), Charussri Leeyaphan (Author), Sumanas Bunyaratavej (Author), Kittipoom Chinhiran (Author)
Format: Book
Published: Karger Publishers, 2019-07-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Sutasinee Phaitoonwattanakij  |e author 
700 1 0 |a Charussri Leeyaphan  |e author 
700 1 0 |a Sumanas Bunyaratavej  |e author 
700 1 0 |a Kittipoom Chinhiran  |e author 
245 0 0 |a Trichophyton erinacei Onychomycosis: The First to Evidence a Proximal Subungual Onychomycosis Pattern 
260 |b Karger Publishers,   |c 2019-07-01T00:00:00Z. 
500 |a 1662-6567 
500 |a 10.1159/000501424 
520 |a Trichophyton erinacei is an emerging cause of dermatophyte infections, which are frequently isolated from hedgehogs. Nail infections from T. erinacei are rarely reported. We describe the case of a 23-year-old Thai female who had a history of systemic lupus erythematosus with lupus nephritis type III and who developed widespread skin and nail infections caused by T. erinacei that were most likely transmitted from a hedgehog. Although the patient did not demonstrate a clinical improvement or mycological cure following systemic itraconazole and fluconazole treatment, she achieved clinical and mycological cures after terbinafine therapy. A drug susceptibility test should be performed in patients with T. erinacei infections to facilitate decision-making about antifungal therapy. Here, we are the first to report a case of proximal subungual onychomycosis from a T. erinacei infection. 
546 |a EN 
690 |a Fingernail onychomycosis 
690 |a Tinea unguium 
690 |a T. erinacei 
690 |a Trichophyton erinacei 
690 |a Dermatology 
690 |a RL1-803 
655 7 |a article  |2 local 
786 0 |n Case Reports in Dermatology, Vol 11, Iss 2, Pp 198-203 (2019) 
787 0 |n https://www.karger.com/Article/FullText/501424 
787 0 |n https://doaj.org/toc/1662-6567 
856 4 1 |u https://doaj.org/article/814ddc6fbcc04dc2a1519149c38b72f8  |z Connect to this object online.