Non-dermatophyte mold onychomycosis in Sri Lanka.
Dermatophytic and non-dermatophytic onychomycosis (NDM) was indistinguishable clinically in our case series. Making a clinical diagnosis of onychomycosis without mycology is the routine practice in Sri Lanka. The prevalence of NDM (45.8%) was very high in our patient population, followed by yeasts (34.1%); dermatophyte infection made up only 20%. Therefore, the treatment of onychomycosis with griseofulvin seems futile. Close contact with soil, the habit of walking barefoot, frequent emersion of hands in water, and a hot, humid climate partly explain the variation in causative pathogens in this case series.
Department of Dermatology, Teaching Hospital Karapitiya, Galle, Sri Lanka.
Ranthilaka R
RR
Ranawaka
Nelun
N
de Silva
Ramya W
RW
Ragunathan
D000293:Adolescent; D000328:Adult; D000368:Aged; D001234:Aspergillus niger / Q000302:isolation & purification; D002175:Candida / Q000302:isolation & purification; D002648:Child; D002963:Cladosporium / Q000302:isolation & purification; D005260:Female; D005533:Foot Dermatoses / Q000175:diagnosis / Q000382:microbiology*; D005670:Fusarium / Q000302:isolation & purification; D006229:Hand Dermatoses / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014009:Onychomycosis / Q000175:diagnosis / Q000382:microbiology*; D010407:Penicillium / Q000302:isolation & purification; D013188:Sri Lanka; D055815:Young Adult