Beyond the usual suspects: A case report of multi-etiological and multidrug-resistant Candida onychomycosis

IF 1.4 4区医学 Q4 IMMUNOLOGY

Indian Journal of Medical Microbiology Pub Date : 2025-05-16 DOI:10.1016/j.ijmmb.2025.100870

Hasti Nouraei , Mehdi Ghahartars , Zahra Zareshahrabadi , Keyvan Pakshir

引用次数: 0

Abstract

This is a rare case of Candida onychomycosis caused by three Candida species that were resistant to several antifungal drugs. A 56-year-old Iranian woman with no previous medical or injury history experienced discoloration and lifting of her left thumbnail for six months. Laboratory tests identified yeast and pseudohyphae consistent with Candida onychomycosis. Conventional and molecular techniques confirmed that onychomycosis was caused by three different Candida species. All strains were resistant to various antifungal drugs. Therapeutic failure, in addition to multi-drug resistance, may be due to the presence of multiple etiological agents.

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超出通常的怀疑：多病因和多耐药念珠菌甲真菌病1例报告。

这是一个罕见的病例念珠菌甲癣由三种念珠菌引起的几种抗真菌药物耐药。一名56岁的伊朗妇女，以前没有医疗或受伤史，她的左拇指指甲变色并抬起了六个月。实验室检测发现酵母菌和假菌丝与念珠菌甲真菌病一致。常规技术和分子技术证实了甲真菌病是由三种不同的念珠菌引起的。所有菌株均对多种抗真菌药物耐药。治疗失败，除了多药耐药，可能是由于多种病因的存在。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Medical Microbiology IMMUNOLOGY-

CiteScore

2.20

自引率

0.00%

发文量

154

审稿时长

73 days

期刊介绍： Manuscripts of high standard in the form of original research, multicentric studies, meta analysis, are accepted. Current reports can be submitted as brief communications. Case reports must include review of current literature, clinical details, outcome and follow up. Letters to the editor must be a comment on or pertain to a manuscript already published in the IJMM or in relation to preliminary communication of a larger study. Review articles, Special Articles or Guest Editorials are accepted on invitation.