Foot mycosis caused by fusarium solani mimicking tinea pedis in pediatric patient

Authors

  • Diah Ngesti Kumalasari Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga
  • Maylita Sari Departement Of Dermatology And Venereology, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Yuri Widia Departement Of Dermatology And Venereology, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Sylvia Anggraeni Departement Of Dermatology And Venereology, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Linda Astari Departement Of Dermatology And Venereology, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Evy Ervianti Departement Of Dermatology And Venereology, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Keywords:

Foot mycosis, Fusarium solani, Tinea pedis

Abstract

Background. Foot mycoses are mainly caused by dermatophytes, sometimes yeasts, and uncommonly and rare conditions by non-dermatophyte molds (NDMs). It is uncommon in women and children. Fusarium species are ubiquitous and may be found in the soil, air and plants. Some predisposition factors could be related with this disease including barefoot, wearing occlusive shoes, sweating of the feet. Trauma is the major risk factor for localized Fusarium infection. Case: A 11-year-old boy, complained itching and red patches on  right and left feet since 1 year ago. Patient used to play barefoot, usually on the ground, in the fields and often played when it was  raining. Patient also had a history of being stabbed by a twig. Patients used to wear socks for a long time at school. On Physical examination at right and left plantar pedis regions showed multiple erythematous macules with firm margins,covered with thin scales on top, plaques with yellowish crusts on top, erosions,no pus and no pustules. Potassium hydroxide 20%  examination revealed fungal hyphae, and white and cotton macroscopic fungi were found from fungal culture examination. Pink or violet center, and becoming bluish-brown are present sporoconidia. Microscopically, it showed sickle or canoe shaped thin-walled macroconidia with 3–4 septa, microconidia,chlamydospore.Showed concordance with the feature of spesies namely Fusarium solani. Patients was received itraconazole 100 mg twice a day  for 1 month and cetirizine 10 mg once a day, clinical cure was noted and mycological cure was obtained after 1 month of treatment. Conclusion: Foot mycosis due to non-dermatophyte species, namely Fusarium solani is a rare case. Clinical manifestation might be mimicking dermatophyte foot mycosis. A detail history and physical examination, supported by identification of etiology will lead to correct diagnosis and prompt treatment. Education to patient how to prevent reccurency by avoiding predisposition factor of the disease is the most important point of care.

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Published

2024-04-21

How to Cite

1.
Diah Ngesti Kumalasari, Maylita Sari, Yuri Widia, Sylvia Anggraeni, Linda Astari, Evy Ervianti. Foot mycosis caused by fusarium solani mimicking tinea pedis in pediatric patient. J Pak Assoc Dermatol [Internet]. 2024Apr.21 [cited 2024May22];34(2):563-8. Available from: https://jpad.com.pk/index.php/jpad/article/view/2671

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Case Reports

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