Title: Treatment of mixed nail infections caused by Candida albicans and Pseudomonas aeruginosa
- Violetta Ratajczak-Stefańska, Romuald Maleszka
- Original articles
- Medical Mycology
- Start page:
- Final page:
- mixed nail infections, Candida albicans, Pseudomonas aeruginosa, surgical treatment of nails
Introduction:The mixed nail infections caused by Candida albicans and Pseudomonas aeruginosa has a rather rare occurrence but due to its persistence, proclaim a significant therapeutic problem.
Aim of the study: The aim of the study was to present, on the basis of oneself experience, a proposition of an effective therapeutic procedure in the cases of mixed infections of nails caused by Candida albicans and Pseudomonas aeruginosa.
Material and methods:The results of the treatment of 12 patients treated previously ineffectively with the use of pharmacological methods dueto mixed nail infections caused by Candida albicans and Pseudomonas aeruginosa were presented in the study. In all these individuals a surgical procedure of the infected nails removal with additional therapy with itraconasole, administrated orally in the dosage of 100 mg twice a day in the period of 28 days and systemic antibiotics, based on antibiogram (gentamycin, ofloxacin) for 14 days were performed. In the topical treatment a 5% salicylic ointment, 3% resorcin spirit, 3% iodic tincture and 0.1% gentamycin cream wereapplied.
Results: In case of 10 patients one obtained a full recovery and in case of two women after a period of improvement a recurrence of nails infection was observed and a complete cure was received after repeated nails removal and another pharmacological treatment after the surgical intervention.
Conclusion: An associated surgical treatment connected with systemic and topical antifungals and antibiotics administration can be indicated in cases of persistent, mixed nail infections caused by Candida albicans and Pseudomonas aeruginosa.