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Uncommon Fungi Isolated from Diabetic Patients Toenails With or Without Visible Onychomycoses

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Abstract

Kodamaea ohmeri and Prototheca wickerhamii are rare pathogens for humans, and even more rare as cause of onychomycosis. This work reports the second case of onychomycosis by K. ohmeri and the fourth of onycoprotothecosis; it was made in public health institutions in the Hidalgo State, Mexico, studying 261 diabetic patients during 2005 and 2006. Kodamaea ohmeri was isolated from toenails of a 51-year-old female patient, and P. wickerhamii from three female patients of 48, 49, and 61 years old, respectively, all of them with type 2 diabetes mellitus (DM 2). Identifications were done by standard microbiological methods and a commercial system. Only one patient infected with P. wickerhamii showed mixed infection with dermatophytes. Out of the total studied DM 2 patients, 1.15% presented onycoprotothecosis and 0.38% onychomycosis by K. ohmeri, high percentages if it is considered that few cases have been reported of K. ohmeri and P. wickerhamii as onychomycosis causal agents.

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Acknowledgments

This work was supported by a Grant (SEP-PROMEP UAEH CA-25) from the Secretaría de Educación Pública, Mexico.

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Authors and Affiliations

  1. Biotechnology Area, Universidad Politécnica de Pachuca, Carretera Pachuca-Ciudad Sahagún Km. 20, Ex Hacienda de Santa Bárbara, Zempoala, Hidalgo, 43830, Mexico

    Marisela González-Avila & José Luis Blasco

  2. Área Académica de Medicina, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Carretera Actopan-Tilcuautla, Ex Hacienda de la Concepción s/n, Hidalgo, 42160, Mexico

    Juan Vicente Gómez-Gómez, José Luis Imbert-Palafox & Marco Antonio Becerril-Flores

  3. Centro de Investigaciones Microbiológicas, Instituto de Ciencias, Benemérita Universidad Autónoma de Puebla, Ciudad Universitaria, Puebla, 72570, Mexico

    Alejandra Paula Espinosa Texis

  4. Centro de Investigación y Asistencia en Tecnología y Diseño de Jalisco A. C., Av. Normalistas N°. 800, Colinas de la Normal, Guadalajara, Jalisco, 44270, Mexico

    Marisela González-Avila

Authors
  1. Marisela González-Avila
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  2. Juan Vicente Gómez-Gómez
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  3. Alejandra Paula Espinosa Texis
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  4. José Luis Imbert-Palafox
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  6. José Luis Blasco
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Correspondence to José Luis Blasco.

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González-Avila, M., Gómez-Gómez, J.V., Espinosa Texis, A.P. et al. Uncommon Fungi Isolated from Diabetic Patients Toenails With or Without Visible Onychomycoses. Mycopathologia 172, 207–213 (2011). https://doi.org/10.1007/s11046-011-9417-7

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  • DOI: https://doi.org/10.1007/s11046-011-9417-7

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