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Research Paper | Medicine | Indonesia | Volume 11 Issue 1, January 2022 | Popularity: 4.5 / 10

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Onychomycosis Caused by Aspergillus niger: A Case Report of An Unusual Etiological Agent

Paulus Mario Christopher, Ketut Kwartantaya Winaya

Abstract: Onychomycosis is a common fungal disease caused by dermatophytes, yeasts, and non-dermatophyte molds. Aspergillus species are rare and emerging as the etiological agent for toenail onychomycosis. We present a case of a 54-year-old male patient in a stage V chronic kidney disease due to diabetic nephropathy undergoing twice-weekly hemodialysis. The patient showed discoloration of the proximal portion of the left big toenail with subungual hyperkeratosis. Direct microscopy revealed a conidial head with a rather broad long septum and irregular hypha. Based on the growth of modified Saboraud dextrose agar, we concluded the diagnosis of onychomycosis caused by Aspergillus niger. After a 6-week pulse dose treatment and topical antifungal, the disease yielded an improvement.

Keywords: Aspergillus niger; aspergillus; fungal infection; non-dermatophyte molds; onychomycosis

Edition: Volume 11 Issue 1, January 2022

Pages: 769 - 772

DOI: https://www.doi.org/10.21275/SR22113132743

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