[Non-dermatophytic moulds: onychomycosis in four patients infected with the human immunodeficiency virus]. / Hongos filamentosos no dermatofitos: onicomicosis en cuatro pacientes infectados con el virus de la inmunodeficiencia humana.

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.

Hongos filamentosos no dermatofitos: onicomicosis en cuatro pacientes infectados con el virus de la inmunodeficiencia humana / Non-dermatophytic moulds: onychomychosis in four patients infected with the human immunodeficiency virus

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)