%0 Journal Article
%T Trichophyton erinacei Onychomycosis: The First to Evidence a Proximal Subungual Onychomycosis Pattern
%A Charussri Leeyaphan
%A Kittipoom Chinhiran
%A Sumanus Bunyaratavej
%A Sutasinee Phaitoonwattanakij
%J Archive of "Case Reports in Dermatology".
%D 2019
%R 10.1159/000501424
%X Trichophyton erinacei is an emerging cause of dermatophyte infections, which are frequently isolated from hedgehogs. Nail infections from T. erinacei are rarely reported. We describe the case of a 23-year-old Thai female who had a history of systemic lupus erythematosus with lupus nephritis type III and who developed widespread skin and nail infections caused by T. erinacei that were most likely transmitted from a hedgehog. Although the patient did not demonstrate a clinical improvement or mycological cure following systemic itraconazole and fluconazole treatment, she achieved clinical and mycological cures after terbinafine therapy. A drug susceptibility test should be performed in patients with T. erinacei infections to facilitate decision-making about antifungal therapy. Here, we are the first to report a case of proximal subungual onychomycosis from a T. erinacei infection
%K Fingernail onychomycosis
%K Tinea unguium
%K T. erinacei
%K Trichophyton erinacei
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639565/