title: [Onychomycosis in Tunis area: epidemiological and mycological data].
abstract: BACKGROUND
  Onychomycosis is by far the most frequent cause of nail disease. We describe epidemiological and mycological features observed in the Tunis area in Tunisia.
  
  
  METHODS
  Data were collected from 292 nail samples performed in 255 patients with suspected onychomycosis.
  
  
  RESULTS
  Request for samples were made late, on the average 48 months after development of nail disorders. Most of the patients were women (63.5%). One hundred ninety-six samples were positive (67%), 130 from toe nails and 66 from finger nails. Simultaneous infections of both finger and toe nails were found in 22 cases. Associated onychomycosis and skin mycosis was found preferentially in feet onychomycosis. The sensitivities of direct examination and culture depended on the site of the onychomycosis. Cultures were more sensitive for hands where yeasts, particularly Candida albicans, predominated, but the direct examination was more sensitive for feet where dermatophytes, particularly Trichophyton rubrum, predominated.
  
  
  CONCLUSIONS
  Mycological examination is compulsory for confirmation of onychomycosis. It is also recommended before initiating a costly long-term treatment.
authors.affiliation: Laboratoire de Parasitologie Clinique, Institut Pasteur de Tunis, 13, place Pasteur, BP 74, 1002 Tunis, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Anane
authors.forename: K
authors.initials: K
authors.lastname: Aoun
authors.forename: N
authors.initials: N
authors.lastname: Zallagua
authors.forename: A
authors.initials: A
authors.lastname: Bouratbine
mesh_terms: D000328:Adult; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009262:Nails / Q000382:microbiology; D014009:Onychomycosis / Q000175:diagnosis / Q000453:epidemiology*; D014416:Tunisia / Q000453:epidemiology