Mixed Infection of Toe Nail Caused by Trichosporon asahii and Rhodotorula mucilaginosa,Mycopathologia

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Mixed Infection of Toe Nail Caused by Trichosporon asahii and Rhodotorula mucilaginosa
Mycopathologia ( IF 5.5 ) Pub Date : 2019-11-23 , DOI: 10.1007/s11046-019-00406-y
Nur Fazleen Binti Idris ₁ , Guowang Huang ₁ , Qianying Jia ₂ , Lin Yuan ₁ , Yimin Li ₁ , Zeng Tu ₁

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Trichosporon asahii and Rhodotorula mucilaginosa are important fungal species causing disseminated disease in immunocompromised patients. Onychomycosis prevalence rate ranges from 2 to 30%, which were 50% of nail diseases and 30% of superficial mycosis, respectively. Although important, little is known about the co-habitation of T. asahii and R. mucilaginosa in the causation of onychomycosis. Here, we present the co-habitation of T. asahii and R. mucilaginosa as causative agents of onychomycosis in a healthy 41-year-old male in China. Direct microscopic examination, fungal culture and MALDI-TOF MS were employed in isolated pathogens; hence, antifungal susceptibility test was evaluated. T. asahii was sensitive to posaconazole, voriconazole and itraconazole, whereas R. mucilaginosa was sensitive to both 5-flucytosine and amphotericin B. This report highlights the co-habitation of T. asahii and R. mucilaginosa in the causation of onychomycosis and to raise the awareness of this infection among dermatologists.

更新日期：2019-11-23

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