Trichophyton tonsurans associated with non-albicans Candida species in hands onychomycosis about a Moroccan case

• Published in: Journal de mycologie médicale 2017-03, Vol.27 (1), p.119-123
• Main Authors: Kouara, S, Ait Hlilou, B, Abbadi, A, Khalki, H, Benbella, I, Lahmadi, K, Er-Rami, M
• Format: Article
• Language: eng ; fre
• Subjects: Candida - isolation & purification; Candidiasis, Cutaneous - complications; Candidiasis, Cutaneous - diagnosis; Female; Hand Dermatoses - diagnosis; Hand Dermatoses - microbiology; Humans; Intertrigo - diagnosis; Intertrigo - microbiology; Middle Aged; Morocco; Onychomycosis - diagnosis; Onychomycosis - microbiology; Tinea - complications; Tinea - diagnosis; Trichophyton - isolation & purification
• ISSN: 1773-0449
• DOI: 10.1016/j.mycmed.2016.12.003

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. 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. 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.