UNUSUAL CLINICAL-FEATURES OF FINGERNAIL INFECTION BY FUSARIUM-OXYSPORUM

Four cases of invasion of fingernails caused by Fusarium oxysporum are described. The typical picture of onychomycosis by this non-dermatoph ytic mould is a 'white superficial onychomycosis' which usually affect s the great toenail. Only few cases of fingernail infections by this o rganism have been described in the literature and, to our knowledge, t here are no reported cases on the pustulous and eczema-like aspect of paronychia by Fusarium oxysporum. We report different and unusual clin ical features of this infection successfully treated with systemic ant ifungals. Two patients were treated with terbinafine, 250 mg daily for 3 months, and two patients with itraconazole, 200 mg daily for 3 mont hs.