Fungi Spectrum Evaluation, Clinical Features and Risk factors of Egyptian patients with onychomycosis in a tertiary care hospital
Khater, M., Khashaba, S., Abdallah, A., Yahia, S. (2025). Fungi Spectrum Evaluation, Clinical Features and Risk factors of Egyptian patients with onychomycosis in a tertiary care hospital. EKB Journal Management System, 31(2), 954-962. doi: 10.21608/zumj.2024.343236.3731
Mohammed Hamed Khater; Shrook Abd Elshafy Khashaba; Aya Lotfy Mohammed Abdallah; Shymaa Yahia. "Fungi Spectrum Evaluation, Clinical Features and Risk factors of Egyptian patients with onychomycosis in a tertiary care hospital". EKB Journal Management System, 31, 2, 2025, 954-962. doi: 10.21608/zumj.2024.343236.3731
Khater, M., Khashaba, S., Abdallah, A., Yahia, S. (2025). 'Fungi Spectrum Evaluation, Clinical Features and Risk factors of Egyptian patients with onychomycosis in a tertiary care hospital', EKB Journal Management System, 31(2), pp. 954-962. doi: 10.21608/zumj.2024.343236.3731
Khater, M., Khashaba, S., Abdallah, A., Yahia, S. Fungi Spectrum Evaluation, Clinical Features and Risk factors of Egyptian patients with onychomycosis in a tertiary care hospital. EKB Journal Management System, 2025; 31(2): 954-962. doi: 10.21608/zumj.2024.343236.3731

Fungi Spectrum Evaluation, Clinical Features and Risk factors of Egyptian patients with onychomycosis in a tertiary care hospital

Zagazig University Medical Journal
Article 40, Volume 31, Issue 2, February 2025, Page 954-962  XML PDF (762.09 K)
Document Type: Original Article
DOI: 10.21608/zumj.2024.343236.3731
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Authors
Mohammed Hamed Khaterorcid 1; Shrook Abd Elshafy Khashabaorcid 2; Aya Lotfy Mohammed Abdallah email 3; Shymaa Yahia4
1Professor of Dermatology, Venereology, and Andrology Department, Faculty of Medicine, Zagazig university
2Assistant professor Of Dermatology, Venereology, and Andrology Department, Faculty of Medicine, Zagazig university Department, Faculty of medicine, Zagazig University
3MBBCH, Faculty of Medicine, Zagazig University
4Assistant professor Of Medical Microbiology and Immunology Department, Faculty of medicine, Zagazig University
Abstract
Background: An effective treatment for onychomycosis can be achieved by identifying the etiological organism and antifungal susceptibility testing. This study aimed to isolate most prevalent fungi causing onychomycosis, detecting risk factors and clinical features of the disease.

Methods: This cross-sectional prospective clinical study has been performed on 80 patients clinically diagnosed to have onychomycosis. After a careful history taking (age, sex, underlying medical conditions and possible risk factors) a nail sample was obtained and subjected to mycological examination (10% KOH microscopic examination and fungal culture for identification of causative fungi.

Results: The most frequent isolated fungi were non dermatophytes which were isolated from 42.5% of the patients followed by dermatophytes in 37.5% then candida in 7.5% of the patients. The isolated non dermatophytes were A. flavus 10% A.niger10%, A.fumigatus7%, alternaria7%, scopulariopsis7% ,Cladosporium5% , Penicillium 1%. The isolated dermatophytes were T.Rubrum 20%, T.Mentagrophytes 14%, T.interdigitale 2%, E.floccosum 2%, T verrucosum 2%.

Conclusion: The incidence of non-dermatophytes onychomycosis has been increasing recently.

non-dermatophytes are emerging pathogens of onychomycosis among patients attending Zagazig University Hospitals.
Keywords
Fungi spectrum; Prevalence; Onychomycosis
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