背景:沙司毛癣菌是一种嗜人性皮肤癣菌,经常在美国和亚洲引起头癣。目前,我们参加了这个物种在某些地区的出现,那里没有或很少见。这里,我们报告了一例成年女性由于T.tonsurans与非白色念珠菌相关的手部甲癣。
方法:患者是一名62岁的女性,患有高血压和糖尿病。她报告说,经常使用化学清洁剂做家务。一年前,她提出了左手最后四根手指的远端onycholysis。临床检查客观地证明了在第二个叉指空间中存在intertrigo。真菌学检查显示直接检查菌丝体元素,培养物允许分离与非白色念珠菌物种相关的T.tonsurans。
结论:我们的观察特别突出了一个物种的鉴定,在摩洛哥只描述过一次关于脚部甲癣的病例。这个物种在我国的可能出现并不遥远。
BACKGROUND: 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.
METHODS: 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.
CONCLUSIONS: 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.