RESUMO
The present report describes a case of onychoprotothecosis caused by Prototheca wickerhamii in a nonimmunocompromized female. Dermatological examination showed yellowish discoloration of the left and right forefinger nails, showing onicolysis and hyperkeratosis. The repeated isolation of the algae Prototheca (organisms morula-like) as well as the repeated culture in media, Sabouraud agar, confirmed the diagnosis. The patient was successfully treated with tioconazol 1% topic solution. The aim of this paper was to present a rare condition.
Assuntos
Infecções/diagnóstico , Doenças da Unha/diagnóstico , Prototheca/crescimento & desenvolvimento , Brasil , Feminino , Humanos , Imidazóis/uso terapêutico , Infecções/tratamento farmacológico , Infecções/microbiologia , Pessoa de Meia-Idade , Doenças da Unha/tratamento farmacológico , Doenças da Unha/microbiologia , Prototheca/efeitos dos fármacos , Prototheca/isolamento & purificação , Resultado do TratamentoRESUMO
The present report describes a case of cutaneous protothecosis caused by Prototheca wickerhamii in a nonimmunocompromised Brazilian female. Dermatological examination revealed a 15-cm diffusely infiltrated eczema-like plaque recovered with many pustule-like lesions on the right forearm. We emphasize the mycological and pathological aspects of this infection that can lead to misdiagnosis. The patient was successfully treated with itraconazole.