Hendersonula toruloidea infection: successful response of onychomycosis to nail avulsion and topical ciclopiroxolamine.
The exotic mould Hendersonula toruloidea may occasionally produce a ringwormlike, non-inflammatory, therapy-resistant mycosis of the skin and nails simulating chronic dermatophytosis. We report on a 30-year-old Nigerian male who, after two years' sojourn in Sweden, developed finger-nail dystrophy and mild scaling of the palm and sole skin due to H. toruloidea infection. Nail avulsion followed by long-term occlusive application of ciclopiroxolamine cleared the onychomycosis, whereas the sole and palm infection was resistant to ciclopiroxolamine and glutaraldehyde treatment.
D000279:Administration, Cutaneous; D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use*; D000077768:Ciclopirox; D006229:Hand Dermatoses / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D003904:Mitosporic Fungi; D009262:Nails / Q000601:surgery; D014009:Onychomycosis / Q000188:drug therapy* / Q000209:etiology; D011728:Pyridones / Q000627:therapeutic use*
D000935:Antifungal Agents; D011728:Pyridones; D000077768:Ciclopirox