title: Isolation of Onychocola canadensis from four cases of onychomycosis in Belgium.
abstract: Onychocola canadensis can cause onychomycosis of the toenails. Thirty-two cases have been described up to now. We report on the isolation of Onychocola canadensis from four patients with onychomycosis who acquired their infection in Belgium. Direct examination was positive. Onychocola canadensis was isolated in pure culture. According to the previously published cases, the patients affected were elderly and the preferential site of infection was the big toenail. In contrast to previous reports, we found a predominance in males. Treatment was started in all patients. Two out of the three patients about whom information was available, did not improve after treatment.
authors.affiliation: Centraal Laboratorium voor Klinische Biologie Prins Leopold Instituut voor Tropische Geneeskunde Nationalestraat 155, 2000 Antwerpen, België.
authors.forename: M
authors.initials: M
authors.lastname: Van Esbroeck
authors.forename: C
authors.initials: C
authors.lastname: Wuytack
authors.forename: K
authors.initials: K
authors.lastname: Van Looveren
authors.forename: D
authors.initials: D
authors.lastname: Swinne
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000145:classification / Q000187:drug effects / Q000302:isolation & purification*; D001530:Belgium / Q000453:epidemiology; D005533:Foot Dermatoses / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D014009:Onychomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D011379:Prognosis; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index
chemical_list: D000935:Antifungal Agents