Onychomycosis due to Scopulariopsis brevicaulis; case concurrent with dermatophytosis and infestation with a tyroglyphid mite.

Abstract

The case described here is remarkable from a biologic rather than a clinical point of view, inasmuch as it combines a rare form of onychomycosis and infestation of the same nail with a mite, with a common fungus infection of the feet. The tinea pedis was caused by Trichophyton mentagrophytes, while the nail was found to be infected with Scopulariopsis brevicaulis. Report of Case Clinical Aspects. —A 58-year-old postal worker was first seen in our Clinic on June 3, 1955. He complained of a bullous eruption on the left sole of two weeks' duration. On examination a large bulla was seen in the center of the plantar surface. The left big toenail was discolored, brittle, and deeply undermined. The discoloration appeared in the shape of an isosceles triangle, with the long side extending diagonally across the nail, and the distal and external lateral edges forming the isosceles (Fig.