To highlight a rare case of onychomycosis caused by Aspergillus niger in an immunocompetent adult and emphasize the need for accurate diagnosis of non-dermatophyte mold infections, particularly in the context of rising NDM prevalence.
Approach:
Key Findings:
Onychomycosis can be caused by non-dermatophyte molds like Aspergillus niger, even in healthy individuals.
NDM infections often present with atypical features, complicating diagnosis.
Accurate diagnosis requires clinical suspicion and confirmatory mycological investigations, including histopathological examination.
Interpretation:
The case underscores the evolving understanding of NDMs as primary pathogens in onychomycosis, necessitating increased awareness among clinicians for timely diagnosis and treatment.
Limitations:
Histopathological examination was not performed, which could have confirmed fungal invasion and is crucial for accurate diagnosis.
Conclusion:
This case illustrates the importance of recognizing non-dermatophyte molds in onychomycosis and highlights the successful treatment of such infections.
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