Onicomicosis en un niño de 18 meses

Title: Onychomycosis in an 18-month-old boy Onychomycosis is a fungal infection of the nails that is rare in children. The toenails are affected more frequently than the fingernails and, as in adults, Trichophyton rubrum is the most common causative pathogen. Onychomycosis can manifest clinically as hyperkeratosis, splintering of the free distal border, loss of luster of the surface of the nail plate and yellowishwhite coloration. Early diagnosis avoids delays in initiating treatment and prevents the extension of the infection and the development of nail dystrophy. In the pediatric population, topical treatment may be the first choice. In recent years, there has been an increase in the prevalence of onychomycosis in children. Thus, this disease must be considered in the differential diagnosis of nail disorders. We report the case of an infant with a diagnosis of onychomycosis. The pathogen isolated was Trichophyton mentagrophytes. He was treated with oral griseofulvin and topical ciclopirox with a positive outcome.