Title: Onychomycosis due to a rare fungus, Paecilomyces variotii – A Case Report

Authors: Dr Santwana Verma, Dr Ghanshyam Verma, Dr Anumeha Gupta, Dr Amit Chauhan, Dr Vineeta Sharma, Dr Ankur Rana

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.77

Abstract

Onychomycosis is an infection of the nails commonly caused by dermatophytes. There is a change in epidemiology of the causative agents. Non-dermatophytic fungal agents though rarely implicated are recently being recognised as nail pathogen more frequently. Paecilomyces variotii is a non-dermatophytic mold which is exceptionally reported as a cause of fungal infections. It has been rarely associated with human infections like endocarditis, endophthalmitis, pneumonia, sinusitis and cutaneous hyalohyphomycosis, invariably in poor immune responders. Onychomycosis due to Paecilomyces variotiiis rarer still as only two cases are reported earlier. The present casefocuses the relevance of recognition of an uncommon causative fungus in onychomycosis, a frequent infectionin an immunocompetent individual.

Keywords: Onychomycosis, Paecilomyces variotii, itraconazole, immunocompetent.

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Corresponding Author

Dr Ghanshyam Verma

Associate Professor, Dept of Dermatology Venereology, Indira Gandhi Medical College Shimla, HP. India