Case of Fusarium paronychia successfully treated with occlusive dressing of antifungal cream

We report a case of refractory Fusarium paronychia in a 42‐year‐old man with Behçet's disease receiving oral cyclosporin and corticosteroid. Symptoms resembling candidal paronychia of his little finger could not be cured by topical ketoconazole and oral terbinafine. The pathogen was identified...

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Bibliographic Details
Published in:Journal of dermatology 2014-04, Vol.41 (4), p.340-342
Main Authors: Ikeda, Isamu, Ohno, Tadashi, Ohno, Hideaki, Miyazaki, Yoshitsugu, Nishimoto, Katsutaro, Fukushima, Satoshi, Makino, Takamitsu, Ihn, Hiromobu
Format: Article
Language:English
Subjects:
Adult
amorolfine
Antifungal Agents - administration & dosage
Behcet Syndrome - complications
Behcet Syndrome - drug therapy
Fusariosis - drug therapy
Fusariosis - etiology
Fusariosis - microbiology
Fusarium
Fusarium - drug effects
Fusarium - genetics
Fusarium - isolation & purification
Fusarium solani
Hand Dermatoses - drug therapy
Hand Dermatoses - etiology
Hand Dermatoses - microbiology
Humans
Immunosuppressive Agents - adverse effects
Male
Morpholines - administration & dosage
multiple drug resistant
occlusive dressing therapy
Occlusive Dressings
Onychomycosis - drug therapy
Onychomycosis - etiology
Onychomycosis - microbiology
Paronychia
topical treatment
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Summary:We report a case of refractory Fusarium paronychia in a 42‐year‐old man with Behçet's disease receiving oral cyclosporin and corticosteroid. Symptoms resembling candidal paronychia of his little finger could not be cured by topical ketoconazole and oral terbinafine. The pathogen was identified as Fusarium solani species complex by gene analysis, and was multiple drug resistant. The case eventually resolved by occlusive dressing therapy with 0.5% amorolfine cream for 3 months.
ISSN:0385-2407
1346-8138
DOI:10.1111/1346-8138.12420