Onychomycosis – Page 3

Superficial Fungal Infections in Children—What Do We Know?

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Superficial fungal infections like ringworm and athlete’s foot are common in children and are caused by fungi, yeasts, or molds that spread through contact with infected people, animals, or contaminated surfaces. These infections primarily affect the scalp, skin, and nails, with scalp infections being most common in young children. Treatment typically uses topical creams for mild cases or oral medications for more severe infections, particularly those affecting nails or the scalp. Proper hygiene, avoiding contaminated areas, and limiting contact with infected individuals or animals are key to prevention.

Two Cases of Fungal Melanonychia

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This paper describes two unusual cases where fungal infections of the toenails caused dark pigmentation (melanonychia). The first patient had a combination of two fungi (Aspergillus hiratsukae and Trichosporon faecale) causing black nail streaks, while the second had Exophiala xenobiotica and Trichophyton interdigitale causing dark-brown discoloration. Both patients were successfully treated with an antifungal medication called efinaconazole over several months.

PCR enables rapid detection of dermatophytes in practice

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This study shows that a new rapid DNA-based test (PCR) is much faster and more effective than traditional methods for diagnosing fungal skin, hair, and nail infections. While traditional culture methods took about 19 days to get results, the new PCR test gives results in just 16 hours. The PCR test detected more infections and is now the preferred diagnostic method in Northern Finland, helping doctors treat patients more quickly and avoid unnecessary antifungal medications.

Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile

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This study tested a new laboratory technology called VITEK® MS for quickly identifying mold infections in patients. Researchers tested the system on 67 mold samples representing 35 different species. The technology successfully identified over 91% of the mold samples accurately without any misidentifications, making it a reliable tool for hospitals to quickly determine what type of mold is causing an infection so doctors can prescribe the right antifungal medication.

Clinico-mycological study of superficial mycoses and correlation with anti-fungal susceptibility among the Candida isolates in a teaching institution of Western India

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This study examined fungal skin infections in 330 patients in Western India, identifying which fungi cause these infections and which antifungal drugs work best. Researchers found that Candida yeasts were especially common in nail infections while Trichophyton fungi were more common in skin infections. The antifungal drug caspofungin was most effective against Candida, while the commonly used drug fluconazole showed increasing resistance.

Epidermophyton floccosum, an etiological agent of tinea pedis and tinea unguium: about two cases

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Two elderly patients were diagnosed with fungal nail and foot infections caused by Epidermophyton floccosum, a fungus that has become less common in recent years. Both cases were confirmed using advanced molecular testing (real-time PCR) alongside traditional laboratory methods. The infections were successfully treated with terbinafine, an antifungal medication. This case report highlights the importance of using modern diagnostic techniques to accurately identify and treat fungal infections.

Safety and efficacy of the swift microwave device in patients with mild-to-moderate onychomycosis: Protocol of an open-label, randomized, dose-finding pilot study

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This study evaluates a new microwave device (Swift System) as a potential treatment for fungal nail infections (onychomycosis). The device uses microwave energy to heat and eliminate fungal infections directly at the nail site, avoiding the side effects of oral medications. Researchers tested three different treatment schedules in 39 patients over 12 months to find the most effective dosing approach.

Combination of Q-switched 1,064 and 532 nm Nd: YAG laser in the treatment of toenail onychomycosis: a pilot study

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This study tested a laser treatment using two different wavelengths (1,064 and 532 nanometers) to treat toenail fungal infections. Fifteen patients with toenail fungus received eight weekly laser sessions. The treatment was safe and worked best for mild cases, curing 100% of them, but was less effective for severe infections. Although patients experienced some pain during treatment, the overall results suggest laser therapy could be a useful option for treating mild fungal toenail infections without the side effects of oral medications.

Emergence of resistant dermatophytosis caused by Trichophyton indotineae: First case series in Thailand

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Researchers in Thailand have identified the first cases of a new resistant fungal skin infection caused by Trichophyton indotineae. This fungus is resistant to a commonly used antifungal drug called terbinafine and causes persistent skin rashes on various body parts. The study describes five patients whose infections were finally identified through genetic testing and who responded well to alternative antifungal treatment with itraconazole. This discovery suggests the fungus is now spreading in Thailand and doctors should watch for it.

Rhino sinusitis caused by Lasiodiplodia theobromae in a diabetic patient

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A 56-year-old diabetic man developed a sinus infection caused by a rare fungus called Lasiodiplodia theobromae, which typically affects plants. The infection was diagnosed through laboratory testing and DNA sequencing, as traditional identification methods were inconclusive. The patient was successfully treated with a combination of sinus surgery and a six-week course of antifungal medication, showing complete recovery after one year of follow-up.

Disease: Onychomycosis