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Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report

BACKGROUND: The patient was aged 34 when he consulted a dermatologist in Vancouver BC with onychomycosis affecting the right great toenail. CASE PRESENTATION: Trichophyton rubrum was cultured from nail clippings. Griseofulvin was taken for 6 months, resulting in clinical and mycological cure. Over t...

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Detalles Bibliográficos
Autores principales: Arroll, Bruce, Oakley, Amanda
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647914/
https://www.ncbi.nlm.nih.gov/pubmed/19154619
http://dx.doi.org/10.1186/1757-1626-2-70
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author Arroll, Bruce
Oakley, Amanda
author_facet Arroll, Bruce
Oakley, Amanda
author_sort Arroll, Bruce
collection PubMed
description BACKGROUND: The patient was aged 34 when he consulted a dermatologist in Vancouver BC with onychomycosis affecting the right great toenail. CASE PRESENTATION: Trichophyton rubrum was cultured from nail clippings. Griseofulvin was taken for 6 months, resulting in clinical and mycological cure. Over the next 27 years there were multiple relapses. Each course of treatment with oral terbinafine (for up to 18 months) or itraconazole resulted in clinical and mycological cure. A dermatological colleague suggested the reason for relapse was likely to be self re-infection. CONCLUSION: No clinical relapse has occurred with once-weekly miconazole cream applied to the toenail and webspaces of the right foot over the last four years.
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spelling pubmed-26479142009-02-26 Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report Arroll, Bruce Oakley, Amanda Cases J Case Report BACKGROUND: The patient was aged 34 when he consulted a dermatologist in Vancouver BC with onychomycosis affecting the right great toenail. CASE PRESENTATION: Trichophyton rubrum was cultured from nail clippings. Griseofulvin was taken for 6 months, resulting in clinical and mycological cure. Over the next 27 years there were multiple relapses. Each course of treatment with oral terbinafine (for up to 18 months) or itraconazole resulted in clinical and mycological cure. A dermatological colleague suggested the reason for relapse was likely to be self re-infection. CONCLUSION: No clinical relapse has occurred with once-weekly miconazole cream applied to the toenail and webspaces of the right foot over the last four years. BioMed Central 2009-01-21 /pmc/articles/PMC2647914/ /pubmed/19154619 http://dx.doi.org/10.1186/1757-1626-2-70 Text en Copyright ©2009 Arroll and Oakley; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Arroll, Bruce
Oakley, Amanda
Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report
title Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report
title_full Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report
title_fullStr Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report
title_full_unstemmed Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report
title_short Preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report
title_sort preventing long term relapsing tinea unguium with topical anti-fungal cream: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647914/
https://www.ncbi.nlm.nih.gov/pubmed/19154619
http://dx.doi.org/10.1186/1757-1626-2-70
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