title: Case of Fusarium paronychia successfully treated with occlusive dressing of antifungal cream.
abstract: We report a case of refractory Fusarium paronychia in a 42-year-old man with Behçet's disease receiving oral cyclosporin and corticosteroid. Symptoms resembling candidal paronychia of his little finger could not be cured by topical ketoconazole and oral terbinafine. The pathogen was identified as Fusarium solani species complex by gene analysis, and was multiple drug resistant. The case eventually resolved by occlusive dressing therapy with 0.5% amorolfine cream for 3 months.
authors.affiliation: Department of Dermatology, Omuta Tenryo Hospital, Fukuoka, Japan.
authors.forename: Isamu
authors.initials: I
authors.lastname: Ikeda
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ohno
authors.forename: Hideaki
authors.initials: H
authors.lastname: Ohno
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Miyazaki
authors.forename: Katsutaro
authors.initials: K
authors.lastname: Nishimoto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Fukushima
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Makino
authors.forename: Hiromobu
authors.initials: H
authors.lastname: Ihn
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000008:administration & dosage*; D001528:Behcet Syndrome / Q000150:complications / Q000188:drug therapy; D060585:Fusariosis / Q000188:drug therapy* / Q000209:etiology / Q000382:microbiology; D005670:Fusarium / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification; D006229:Hand Dermatoses / Q000188:drug therapy* / Q000209:etiology / Q000382:microbiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D008297:Male; D009025:Morpholines / Q000008:administration & dosage; D009779:Occlusive Dressings; D014009:Onychomycosis / Q000188:drug therapy* / Q000209:etiology / Q000382:microbiology
chemical_list: D000935:Antifungal Agents; D007166:Immunosuppressive Agents; D009025:Morpholines; C038974:amorolfine
keywords: Fusarium; amorolfine; multiple drug resistant; occlusive dressing therapy; topical treatment