ABSTRACT
Patients infected with human immunodeficiency virus (HIV) are a risk group for onychomycosis, fungal infections caused mainly by dermatophytes and yeast. However, non-dermatohytic moulds are becoming common agents for nail infections in this population of patients. We report four cases of onychomycosis caused by non-dermatophytic moulds (Aspergillus niger, Scytalidium hyalinum, Scytalidium dimidiatum and Fusarium solani) in patients infected with HIV from Recife, Pernambuco, Brazil. Onychomicosis by non-dermatophytic species in HIV-positive patients requires special attention in the clinical and the laboratory. A proper diagnosis is necessary to establish the specific and adequate treatment, preventing fungal invasion.
Subject(s)
AIDS-Related Opportunistic Infections/microbiology , Ascomycota/isolation & purification , Aspergillosis/microbiology , Aspergillus niger/isolation & purification , Fusarium/isolation & purification , Onychomycosis/microbiology , Adult , Antiretroviral Therapy, Highly Active , Female , Humans , Male , Middle AgedABSTRACT
La infección causada por el virus de la inmunodeficiencia humana (VIH) es unfactor de riesgo para el desarrollo de las onicomicosis, infecciones micóticascausadas principalmente por dermatofitos y levaduras. Los hongos filamentososno dermatofitos están emergiendo como agentes de lesiones ungueales eninmunodeprimidos. Presentamos cuatro casos de onicomicosis por hongosfilamentosos no dermatofitos (Aspergillus niger, Scytalidium hyalinum,Scytalidium dimidiatum y Fusarium solani) en pacientes portadores del VIH,residentes en la ciudad de Recife, Pernambuco - Brasil. Las onicomicosis porespecies no dermatofíticas en pacientes VIH-positivos requieren mayor atenciónen relación a los aspectos clínicos y de laboratorio con la finalidad deestablecer el diagnóstico etiológico correcto e indicar el tratamiento específico yadecuado, previniendo invasiones por hongos en otros sitios(AU)
Patients infected with human immunodeficiency virus (HIV) are a risk group foronychomycosis, fungal infections caused mainly by dermatophytes and yeast.However, non-dermatohytic moulds are becoming common agents for nailinfections in this population of patients. We report four cases of onychomycosiscaused by non-dermatophytic moulds (Aspergillus niger, Scytalidium hyalinum,Scytalidium dimidiatum and Fusarium solani) in patients infected with HIV fromRecife, Pernambuco, Brazil. Onychomicosis by non-dermatophytic species inHIV-positive patients requires special attention in the clinical and the laboratory.A proper diagnosis is necessary to establish the specific and adequatetreatment, preventing fungal invasion(AU)
